Provider Demographics
NPI:1760488183
Name:MORRISON, JEFFREY W (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:W
Last Name:MORRISON
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 1:6016 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-2417
Mailing Address - Country:US
Mailing Address - Phone:941-739-2225
Mailing Address - Fax:941-753-6821
Practice Address - Street 1:6016 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2417
Practice Address - Country:US
Practice Address - Phone:941-739-2225
Practice Address - Fax:941-753-6821
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005707111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22638OtherBCBS
U17319Medicare UPIN
FLU17319Medicare UPIN
22638YMedicare PIN