Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 010147436 | VA |
NPI | 1144394644 |
---|---|
Provider Name | Norman Paul Morin II |
First Address | Wytheville, VA 24382 |
Second Address | Wytheville, VA 24382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 24/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006405142 | (05) | VA |
030772 | ANTHEM (01) | |
200026979 | RAILROAD MEDICARE (01) | |
2116101 | MAMSI UHC (01) | |
4354133 | AETNA (01) | |
E47179 | (02) | |
T83101 | JOHN DEERE HEALTH (01) |