Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301005041 | MI |
N | 111NS0005X | Chiropractic Sports Physician | 2301005041 | MI |
NPI | 1023004769 |
---|---|
Provider Name | Dr. Paul Eric Morrow |
First Address | Haslett, MI 48840-8993 |
Second Address | Haslett, MI 48840-8993 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 23/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
350015960 | PALMETTO GBA RR MEDICARE (01) | MI |
44-00009 | PHP OF MID-MICHIGAN (01) | MI |
44-70009 | (05) | MI |
950C35000 | BCBS (01) | MI |
950C35000 | BCN (01) | MI |
T32862 | (02) | MI |