Provider Demographics
NPI:1275599672
Name:MORRIS, BARRY E (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:E
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 1:2500 HIGHLAND RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-4601
Mailing Address - Country:US
Mailing Address - Phone:724-981-5551
Mailing Address - Fax:724-981-5552
Practice Address - Street 1:2500 HIGHLAND RD
Practice Address - Street 2:SUITE 103
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4601
Practice Address - Country:US
Practice Address - Phone:724-981-5551
Practice Address - Fax:724-981-5552
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008000-L111N00000X
PA3162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019228520001Medicaid
PAU89014Medicare UPIN
PA0019228520001Medicaid