Provider Demographics
NPI:1194974923
Name:DR. C. E. MORROW P C
Entity type:Organization
Organization Name:DR. C. E. MORROW P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:COURVILLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:248-399-7575
Mailing Address - Street 1:3179 W 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1339
Mailing Address - Country:US
Mailing Address - Phone:248-399-7575
Mailing Address - Fax:
Practice Address - Street 1:3179 W 12 MILE RD
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1339
Practice Address - Country:US
Practice Address - Phone:248-399-7575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301001163111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP98917Medicare UPIN
MIOF350268951Medicare Oscar/Certification