Provider Demographics
NPI:1477310498
Name:MORRISON, ZACHARY CHARLES (RD)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:CHARLES
Last Name:MORRISON
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:SHARPSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16150-2006
Mailing Address - Country:US
Mailing Address - Phone:724-732-7591
Mailing Address - Fax:
Practice Address - Street 1:16 S 9TH ST
Practice Address - Street 2:
Practice Address - City:SHARPSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16150-2006
Practice Address - Country:US
Practice Address - Phone:724-732-7591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005651133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty