Organization
CHIROPRACTIC AND REHAB ASSOCIATES OF DALLAS, PC
Active
Organization
CHIROPRACTIC AND REHAB ASSOCIATES OF DALLAS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EVAN MORRIS D.C. (VICE PRESIDENT)
(570) 696-4346
Entity
Organization
Contact information
Practice address
165 S MEMORIAL HWY, TRUCKSVILLE, PA 18708-1418
(570) 696-4346
Mailing address
165 S MEMORIAL HWY, TRUCKSVILLE, PA 18708-1418
(570) 696-4346
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC007819L
PA
111NR0400X
Rehabilitation Chiropractor
DC009260
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018655130002
—
PA
01
—
037425
BLUESHIELD-DR.MILLER
PA
05
—
1010922510001
—
PA
01
—
1630101
BLUESHIELD-DR. MORRIS
PA
01
—
7658428
AETNA-DR. MILLER
PA
01
—
7897615
AETNA-DR.MORRIS
PA
01
—
814279
FIRSTPRIORITY-DR.MILLER
PA
01
—
818354
FIRSTPRIORITY-DR.MORRIS
PA
Enumeration date
04/20/2007
Last updated
08/22/2020
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