Individual
DR. SHANE PATRICK MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6070 INDIAN RIVER RD, SUITE 102, VIRGINIA BEACH, VA 23464-3895
(757) 313-2304
Mailing address
6070 INDIAN RIVER RD., STE. 102, VIRGINIA BEACH, VA 23464
(757) 313-2304
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104556726
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270737178
AETNA
VA
Enumeration date
08/07/2009
Last updated
01/11/2010
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