Provider Demographics
NPI:1245405570
Name:MORRISON, ERIC JACOB (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JACOB
Last Name:MORRISON
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 1:516 PERRY WAY
Mailing Address - Street 2:
Mailing Address - City:ZELIENOPLE
Mailing Address - State:PA
Mailing Address - Zip Code:16063-1504
Mailing Address - Country:US
Mailing Address - Phone:724-452-3929
Mailing Address - Fax:888-811-2753
Practice Address - Street 1:516 PERRY WAY
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-1504
Practice Address - Country:US
Practice Address - Phone:724-452-3929
Practice Address - Fax:888-811-2753
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010271111N00000X, 111N00000X
NC3837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024660510001Medicaid
PA1190256OtherCIGNA
PA2504008OtherHIGHMARK BLUE CROSS/BLUE SHIELD OF PENNSYLVANIA
PA12101673OtherCAQH
PA751562OtherUNITED HEALTHCARE OPTUM HEALTH