Healthcare Provider Details

I. General information

NPI: 1275667107
Provider Name (Legal Business Name): JCMORRIS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11518 E APACHE TRL STE 118
APACHE JUNCTION AZ
85220-3531
US

IV. Provider business mailing address

11518 E APACHE TRL STE 118
APACHE JUNCTION AZ
85220-3531
US

V. Phone/Fax

Practice location:
  • Phone: 480-985-5353
  • Fax: 480-985-6884
Mailing address:
  • Phone: 480-985-5353
  • Fax: 480-985-6884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6096
License Number StateAZ

VIII. Authorized Official

Name: DR. JASON CHARLES MORRIS
Title or Position: OWNER
Credential: D.C.
Phone: 480-985-5353