MEDICARE: MORRIS FAMILY CHIROPRACTIC P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	2002012568	MO

General Provider Information

NPI Number	:	1225225584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRIS FAMILY CHIROPRACTIC P.C.

Provider Business Mailing Address
First Line	:	1302 PLATTE FALLS RD
Second Line	:	SUITE E
City	:	PLATTE CITY
State	:	MO
Zip	:	64079-7281
Country	:	US
Telephone Number	:	816-858-9990
Fax Number	:	816-858-9992

Provider Business Practice Location Address
First Line	:	1302 PLATTE FALLS RD
Second Line	:	SUITE E
City	:	PLATTE CITY
State	:	MO
Zip	:	64079-7281
Country	:	US
Telephone Number	:	816-858-9990
Fax Number	:	816-858-9992

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. GERALD FREDERICK MORRIS
Credential	:	DC
Telephone Number	:	816-858-9990

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	05/02/2008

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