Provider Demographics
NPI:1437298429
Name:MORRISON, TIMOTHY WADE (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:WADE
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 1:801 EASTERN SHORE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-5934
Mailing Address - Country:US
Mailing Address - Phone:410-548-2225
Mailing Address - Fax:410-548-9542
Practice Address - Street 1:801 EASTERN SHORE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5934
Practice Address - Country:US
Practice Address - Phone:410-548-2225
Practice Address - Fax:410-548-9542
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1637111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM530OtherCAREFIRST
MDW132OtherCAREFIRST
MD012M709EMedicare ID - Type UnspecifiedPROVIDER #
MDU84816Medicare UPIN