Provider Demographics
NPI:1114716651
Name:MORSE, JONI
Entity type:Individual
Prefix:DR
First Name:JONI
Middle Name:
Last Name:MORSE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:HART
Mailing Address - State:MI
Mailing Address - Zip Code:49420-1236
Mailing Address - Country:US
Mailing Address - Phone:231-873-2540
Mailing Address - Fax:231-873-0108
Practice Address - Street 1:819 S STATE ST
Practice Address - Street 2:
Practice Address - City:HART
Practice Address - State:MI
Practice Address - Zip Code:49420-1236
Practice Address - Country:US
Practice Address - Phone:231-873-2540
Practice Address - Fax:231-873-2540
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist