Provider Demographics
NPI:1851496483
Name:MORRISON, ROGER IRVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:IRVIN
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 1:6901 SHAWNEE MISSION PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66202-4005
Mailing Address - Country:US
Mailing Address - Phone:913-962-1300
Mailing Address - Fax:913-403-8808
Practice Address - Street 1:6901 SHAWNEE MISSION PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66202-4005
Practice Address - Country:US
Practice Address - Phone:913-962-1300
Practice Address - Fax:913-403-8808
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC3757111N00000X
MO4913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11266026OtherBCBS
MO3347OtherBCBS
KSQ860000Medicare ID - Type Unspecified
KS11266026OtherBCBS
MO000025726Medicare ID - Type Unspecified