Provider Demographics
NPI:1568867091
Name:MORRISON CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:MORRISON CHIROPRACTIC LLC
Other - Org Name:LIFE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-452-3929
Mailing Address - Street 1:516 PERRY WAY
Mailing Address - Street 2:
Mailing Address - City:ZELIENOPLE
Mailing Address - State:PA
Mailing Address - Zip Code:16063-1504
Mailing Address - Country:US
Mailing Address - Phone:724-452-3929
Mailing Address - Fax:888-811-2753
Practice Address - Street 1:516 PERRY WAY
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-1504
Practice Address - Country:US
Practice Address - Phone:724-452-3929
Practice Address - Fax:888-811-2753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010271111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty