Provider Demographics
NPI:1568659092
Name:MORRIS FAMILY CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:MORRIS FAMILY CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:BARTLEY
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DABCO
Authorized Official - Phone:973-455-1660
Mailing Address - Street 1:230 SOUTH ST
Mailing Address - Street 2:BLAIRHOUSE
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7700
Mailing Address - Country:US
Mailing Address - Phone:973-455-1660
Mailing Address - Fax:973-455-0084
Practice Address - Street 1:230 SOUTH ST
Practice Address - Street 2:BLAIRHOUSE
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7700
Practice Address - Country:US
Practice Address - Phone:973-455-1660
Practice Address - Fax:973-455-0084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00268000111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ088627Medicare PIN