Robert Edwin Morley, DC
Individual provider Active NPI Chiropractor · Sister Bay, WI
NPI 1225593221 · NPPES record last updated Feb 4, 2019
Key facts
- NPI
- 1225593221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5422-12 (WI)
- Practice address
- 10590 Country Walk Dr Unit 2
Sister Bay, WI 54234-9103 - Phone
- (920) 633-4055
- NPI assigned
- Feb 4, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10590 Country Walk Dr
Unit 2
Sister Bay, WI 54234-9103
Phone (920) 633-4055
Hospital & facility affiliations
- Door County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190423000957 | WI | Practitioner - Chiropractic | 4284976283 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5422-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Door Chiropractic and Wellness LLC | Chiropractor | Current |
Accepting new patients |
Locations
10590 Country Walk Dr
Unit 2
Sister Bay, WI 54234
Phone (920) 633-4055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5422-12 | WI | Yes |
Addresses
Primary practice location
10590 Country Walk Dr Unit 2
Sister Bay, WI 54234-9103
Mailing address
10590 Country Walk Dr Unit 2
Sister Bay, WI 54234-9103
Phone (920) 633-4055
Other providers in Sister Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.