Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | SO1253 | MD |
NPI | 1174662159 |
---|---|
Provider Name | Dr. Barrett Eugene Morrison |
First Address | Salisbury, MD 21804-5934 |
Second Address | Salisbury, MD 21804-5934 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
759588 | (02) | MD |
M530 | CAREFIRST (01) | MD |
W132 | CAREFIRST (01) | MD |