Provider Demographics
NPI:1699795229
Name:MORRIS, CHARLES E (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:E
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 COUNTY ROAD 6800
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-6316
Mailing Address - Country:US
Mailing Address - Phone:417-256-1630
Mailing Address - Fax:
Practice Address - Street 1:2703 COUNTY ROAD 6800
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-6316
Practice Address - Country:US
Practice Address - Phone:417-256-1630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0166342083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEAS OF 11/13/06OtherBENEFIT SERVICES
ME3787264OtherAETNA HMO
ME1820249OtherCIGNA
ME4218099OtherAETNA NON HMO
MEAS OF 1/15/07OtherHARVARD PILGRIM
MEAS OF 11/13/06OtherBENEFIT SERVICES
MEAS OF 1/15/07OtherHARVARD PILGRIM