Provider Demographics
NPI:1780804682
Name:MORROW, NICHOLAS JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JAMES
Last Name:MORROW
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 1:3857 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2512
Mailing Address - Country:US
Mailing Address - Phone:703-766-0816
Mailing Address - Fax:703-383-0013
Practice Address - Street 1:3857 PLAZA DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2512
Practice Address - Country:US
Practice Address - Phone:563-940-0931
Practice Address - Fax:703-383-0013
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA187505OtherANTHEM PROVIDER NUMBER