Healthcare Provider Details

I. General information

NPI: 1740329986
Provider Name (Legal Business Name): MORRISON CHIROPRACTIC & WELLNESS CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 06/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 EASTERN SHORE DR
SALISBURY MD
21804-5934
US

IV. Provider business mailing address

801 EASTERN SHORE DR
SALISBURY MD
21804-5934
US

V. Phone/Fax

Practice location:
  • Phone: 410-548-2225
  • Fax: 410-548-9542
Mailing address:
  • Phone: 410-548-2225
  • Fax: 410-548-9542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberSO1637
License Number StateMD

VIII. Authorized Official

Name: DR. TIMOTHY WADE MORRISON
Title or Position: OWNER
Credential: D.C.
Phone: 410-548-2225