Provider Demographics
NPI:1912959628
Name:MORRISROE CHIROPRACTIC INC
Entity Type:Organization
Organization Name:MORRISROE CHIROPRACTIC INC
Other - Org Name:ABSOLUTE HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORRISROE
Authorized Official - Suffix:
Authorized Official - Credentials:MS,DC
Authorized Official - Phone:207-699-2622
Mailing Address - Street 1:PO BOX 7640
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04112-7640
Mailing Address - Country:US
Mailing Address - Phone:207-699-2622
Mailing Address - Fax:207-699-2624
Practice Address - Street 1:1 CITY CTR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-6420
Practice Address - Country:US
Practice Address - Phone:207-699-2622
Practice Address - Fax:207-699-2624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1590111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME191-295-9628Medicare UPIN