Healthcare Provider Details

I. General information

NPI: 1679497275
Provider Name (Legal Business Name): PETER EDWIN MORRIS H.I.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SPRINGFIELD PLAZA RD
SPRINGFIELD VT
05156-2923
US

IV. Provider business mailing address

100 SPRINGFIELD PLAZA RD
SPRINGFIELD VT
05156-2923
US

V. Phone/Fax

Practice location:
  • Phone: 802-213-5398
  • Fax:
Mailing address:
  • Phone: 802-213-5398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number063.0134083
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: