Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2353 | OH |
Y | 222Z00000X | Podiatrist | 2353 | OH |
N | 111NR0200X | Radiology | 2353 | OH |
N | 213ER0200X | Radiology | 2353 | OH |
N | 2081S0010X | Sports Medicine | 2353 | OH |
N | 213ES0000X | Sports Medicine | 2353 | OH |
N | 213ES0131X | Foot Surgery | 2353 | OH |
NPI | 1235135419 |
---|---|
Provider Name | Dennis E Morris |
First Address | Lima, OH 45805-2725 |
Second Address | Lima, OH 45805-2725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 25/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0649258 | (05) | OH |
480031633 | RAILROAD MEDICARE NUMBER (01) | OH |
CB6624 | RAILROAD MEDICARE (01) | |
T80719 | (02) | OH |