Provider Demographics
NPI:1972830743
Name:MORRISON CHIROPRACTIC INC
Entity Type:Organization
Organization Name:MORRISON CHIROPRACTIC INC
Other - Org Name:SPINE AND SPORT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-340-1958
Mailing Address - Street 1:72405 PARKVIEW DR STE A
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2716
Mailing Address - Country:US
Mailing Address - Phone:760-340-1956
Mailing Address - Fax:760-340-2280
Practice Address - Street 1:72405 PARKVIEW DR STE A
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2716
Practice Address - Country:US
Practice Address - Phone:760-340-1956
Practice Address - Fax:760-340-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25209111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty