Provider Demographics
NPI:1013099423
Name:MORROW, JARED D
Entity Type:Individual
Prefix:MR
First Name:JARED
Middle Name:D
Last Name:MORROW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E 20TH ST STE 240
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-3868
Mailing Address - Country:US
Mailing Address - Phone:307-638-0894
Mailing Address - Fax:307-638-0895
Practice Address - Street 1:800 E 20TH ST STE 240
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3868
Practice Address - Country:US
Practice Address - Phone:307-638-0894
Practice Address - Fax:307-638-0895
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY636111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor