MEDICARE: DAVID LOUIS MORRIS D.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	111N00000X	Chiropractor	CH00002065	WA

General Provider Information

NPI Number	:	1326113523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LOUIS MORRIS D.C.

Provider Business Mailing Address
First Line	:	PMB E6
Second Line	:	621 SR9 NE
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-8525
Country	:	US
Telephone Number	:	425-334-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	9407 4TH ST NE
Second Line	:
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-8525
Country	:	US
Telephone Number	:	425-334-3333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	07/08/2007

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