Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 10199 | LA |
N | 208600000X | Surgeon | 10199 | LA |
Y | 208200000X | Surgeon | 13240 | AL |
Y | 208600000X | Surgeon | 13240 | AL |
NPI | 1013090174 |
---|---|
Provider Name | Dr. John E Morrison JR. |
First Address | Fayette, AL 35555-0070 |
Second Address | Fayette, AL 35555-1923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 10/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000016945 | (05) | AL |
1031828 | (05) | LA |
51016945 | BLUE CROSS OF ALABAMA (01) | AL |
B65064 | (02) | AL |