Provider Demographics
NPI:1497897243
Name:MORRIS, LOUIS BERNARD (DC)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:BERNARD
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 1:3243 NEW LYNNVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-3415
Mailing Address - Country:US
Mailing Address - Phone:502-447-0439
Mailing Address - Fax:502-447-0439
Practice Address - Street 1:3243 NEW LYNNVIEW DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-3415
Practice Address - Country:US
Practice Address - Phone:502-447-0439
Practice Address - Fax:502-447-0439
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3945111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T54505Medicare UPIN
KY6052301Medicare ID - Type Unspecified