Provider Demographics
NPI:1487857876
Name:MORRISON CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:MORRISON CHIROPRACTIC, INC.
Other - Org Name:MORRISON CHIROPRACTIC, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DABCO
Authorized Official - Phone:812-941-9930
Mailing Address - Street 1:209 E LEWIS AND CLARK PKWY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-1723
Mailing Address - Country:US
Mailing Address - Phone:812-941-9930
Mailing Address - Fax:812-941-9940
Practice Address - Street 1:209 E LEWIS AND CLARK PKWY
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-1723
Practice Address - Country:US
Practice Address - Phone:812-941-9930
Practice Address - Fax:812-941-9940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2011-10-18
Deactivation Date:2007-12-07
Deactivation Code:
Reactivation Date:2008-01-16
Provider Licenses
StateLicense IDTaxonomies
IN08001243A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100076550Medicaid
IN214844100OtherACS DEPT.OF LABOR
IN411508205OtherHSM
IN000000042675OtherANTHEM BCBS
IN1206812OtherCHA
INDG4240OtherRRMR
IN411508205OtherHSM
IN1206812OtherCHA
INU29010Medicare UPIN