Provider Demographics
NPI:1467585646
Name:MORRIS, JOSEPH EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWARD
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 1130
Mailing Address - Street 2:
Mailing Address - City:DEFUNIAK SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32435-1130
Mailing Address - Country:US
Mailing Address - Phone:850-892-4636
Mailing Address - Fax:888-781-9126
Practice Address - Street 1:1080 US HIGHWAY 331 S
Practice Address - Street 2:SUITE B
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32435-3374
Practice Address - Country:US
Practice Address - Phone:850-892-4636
Practice Address - Fax:888-781-9126
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8797111N00000X
AL2154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000233400Medicaid
P00211478OtherRAILROAD MEDICARE - PALMETTO GBA
11835675OtherCAQH (COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE)
FL88739OtherBLUE CROSS BLUE SHIELD FL
11835675OtherCAQH (COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE)
FL000233400Medicaid