Organization
MORRISON CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND VERN MORRISON D.C. (OWNER)
(208) 455-0678
Entity
Organization
Contact information
Practice address
309 E LOGAN ST, CALDWELL, ID 83605-4863
(208) 455-0678
Mailing address
309 E LOGAN ST, CALDWELL, ID 83605-4863
(208) 455-0678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA702
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010020180
BLUE SHIELD
ID
01
—
C702-8
BLUE CROSS OF IDAHO
ID
Enumeration date
11/19/2007
Last updated
11/19/2007
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