Provider Demographics
NPI:1447317748
Name:MORISON, THOMAS C (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:MORISON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 WATERMAN ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4065
Mailing Address - Country:US
Mailing Address - Phone:401-861-1300
Mailing Address - Fax:
Practice Address - Street 1:187 WATERMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4065
Practice Address - Country:US
Practice Address - Phone:401-861-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00527111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1144347535OtherNPI
359005374OtherPTAN
1447317748OtherNPI PERSONAL
RI30923-5OtherBLUE CROSS & BLUE SHIELD
RI413061OtherBLUECHIP
RI359004450Medicare UPIN