Provider Demographics
NPI:1225225584
Name:MORRIS FAMILY CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:MORRIS FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-858-9990
Mailing Address - Street 1:1302 PLATTE FALLS RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-7281
Mailing Address - Country:US
Mailing Address - Phone:816-858-9990
Mailing Address - Fax:816-858-9992
Practice Address - Street 1:1302 PLATTE FALLS RD
Practice Address - Street 2:SUITE E
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-7281
Practice Address - Country:US
Practice Address - Phone:816-858-9990
Practice Address - Fax:816-858-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002012568261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MON420000Medicare PIN