Provider Demographics
NPI:1821212598
Name:MORRISON CHIROPRACTIC
Entity Type:Organization
Organization Name:MORRISON CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-521-7200
Mailing Address - Street 1:131 N 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-2901
Mailing Address - Country:US
Mailing Address - Phone:970-521-7200
Mailing Address - Fax:970-521-7201
Practice Address - Street 1:131 N 6TH AVE
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-2901
Practice Address - Country:US
Practice Address - Phone:970-521-7200
Practice Address - Fax:970-521-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00266635Medicare ID - Type UnspecifiedRAILROAD MEDICARE
COC803508Medicare ID - Type Unspecified