Healthcare Provider Details

I. General information

NPI: 1023004769
Provider Name (Legal Business Name): PAUL ERIC MORROW D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 09/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1399 HASLETT RD
HASLETT MI
48840-8993
US

IV. Provider business mailing address

1399 HASLETT RD P.O. BOX 450
HASLETT MI
48840-8993
US

V. Phone/Fax

Practice location:
  • Phone: 517-339-1304
  • Fax: 517-339-1305
Mailing address:
  • Phone: 517-339-1304
  • Fax: 517-339-1305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301005041
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number2301005041
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: