Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35-059366 | OH |
N | 207XS0106X | Orthopaedic Hand Surgeon | 35-059366 | OH |
NPI | 1174625842 |
---|---|
Provider Name | Dr. Jeffrey Selman Morris |
First Address | Hudson, OH 44236-2775 |
Second Address | Hudson, OH 44236-2775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0813196 | (05) | OH |
E59474 | (02) | OH |