Provider Demographics
NPI:1952343188
Name:MORRISON, GREG W (MPA-C)
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:W
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7911 W CENTER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3104
Mailing Address - Country:US
Mailing Address - Phone:402-390-0333
Mailing Address - Fax:402-390-9632
Practice Address - Street 1:7911 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3104
Practice Address - Country:US
Practice Address - Phone:402-390-0333
Practice Address - Fax:402-390-9632
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE621363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S02569Medicare UPIN
NE279783Medicare ID - Type Unspecified