Provider Demographics
NPI:1073672226
Name:MORRIS, ERIC B (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:B
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20884
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-0884
Mailing Address - Country:US
Mailing Address - Phone:317-255-4222
Mailing Address - Fax:317-704-4900
Practice Address - Street 1:4760 E 62ND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-5234
Practice Address - Country:US
Practice Address - Phone:317-255-4222
Practice Address - Fax:317-704-4900
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ININ08001498111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100441610AMedicaid
IN716750Medicare PIN
IN100441610AMedicaid