Morris, Michael Clark

Morris, Michael Clark is an sole proprietor health care provider with primary practice located at 132 Will Hickerson Rd , Tullahoma TN 37388-6779. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Morris, Michael Clark can be contacted via phone (931) 455-7065.

Contact Information

Primary practice address
132 Will Hickerson Rd Tullahoma TN 37388-6779
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28988 Tennessee
Pharmacy Service Providers / Pharmacist 183500000X 9999 Kentucky

Profile Details

NPI number 1710240932
LBN Legal business name Morris, Michael Clark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2012
Last updated Jun 21st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710240932 NPPES
Kentucky Other 9999 PHARMACY LICENSE
Kentucky Other 28988 PHARMACY LICENSE

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