Provider Demographics
NPI:1497724504
Name:MORRIS, ROGER A (DC)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:A
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 1:933 ELIDA AVE
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-1785
Mailing Address - Country:US
Mailing Address - Phone:419-692-9050
Mailing Address - Fax:419-692-9060
Practice Address - Street 1:933 ELIDA AVE
Practice Address - Street 2:
Practice Address - City:DELPHOS
Practice Address - State:OH
Practice Address - Zip Code:45833-1785
Practice Address - Country:US
Practice Address - Phone:419-692-9050
Practice Address - Fax:419-692-9060
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0319391Medicaid
T46831Medicare UPIN
OH0319391Medicaid