1306114822 NPI number — DR. RICHARD GERALD MORRIS III D.C.

Table of content: DR. RICHARD GERALD MORRIS III D.C. (NPI 1306114822)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306114822 NPI number — DR. RICHARD GERALD MORRIS III D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORRIS
Provider First Name:
RICHARD
Provider Middle Name:
GERALD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
III
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306114822
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/12/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 921028
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUTCH HARBOR
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99692-1028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-581-4689
Provider Business Mailing Address Fax Number:
907-581-6956

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
204 BIORKA DRIVE
Provider Second Line Business Practice Location Address:
1ST FLOOR
Provider Business Practice Location Address City Name:
DUTCH HARBOR
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99692
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-581-4689
Provider Business Practice Location Address Fax Number:
907-581-6956
Provider Enumeration Date:
12/12/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  51 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com