Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 2653 | OH |
NPI | 1598799371 |
---|---|
Provider Name | Dr. Brian J Morris |
First Address | Painesville, OH 44077-1707 |
Second Address | Painesville, OH 44077-1707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 12/09/2013 |