Organization
MORTON CHIROPACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE VERNON MORTON D.C. (DIRECTOR)
(662) 429-6102
Entity
Organization
Contact information
Practice address
55 EAST COMMERCE ST., HERNANDO, MS 38632-2215
(662) 429-6102
(662) 429-6044
Mailing address
55 EAST COMMERCE ST., HERNANDO, MS 38632-2215
(662) 429-6102
(662) 429-6044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038004179
IL
111N00000X
Chiropractor
038010451
IL
111N00000X
Chiropractor
1094
MS
111N00000X
Chiropractor
Primary
122
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115111
—
MS
01
—
3260206
CIGNA
AL
01
—
4474591
AETNA
MS
Enumeration date
04/20/2007
Last updated
08/18/2008
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