Healthcare Provider Details
I. General information
NPI: 1073596284
Provider Name (Legal Business Name): JAMES S MORRIS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 11/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 WESTMORELAND OFFICE CENTER
DUNBAR WV
25064
US
IV. Provider business mailing address
100 WESTMORELAND OFFICE CENTER
DUNBAR WV
25064
US
V. Phone/Fax
- Phone: 304-768-5068
- Fax: 304-768-6251
- Phone: 304-768-5068
- Fax: 304-768-6251
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 759 |
| License Number State | WV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: