MEDICARE: DR. EDWARD L PARRISH SR. D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC-005664-L	PA

General Provider Information

NPI Number	:	1538139605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD L PARRISH SR. D.C.

Provider Business Mailing Address
First Line	:	5591 HAMILTON BLVD
Second Line	:
City	:	WESCOSVILLE
State	:	PA
Zip	:	18106-9720
Country	:	US
Telephone Number	:	610-530-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5591 HAMILTON BLVD
Second Line	:
City	:	WESCOSVILLE
State	:	PA
Zip	:	18106-9720
Country	:	US
Telephone Number	:	610-530-7700
Fax Number	:	610-530-7702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	04/15/2011

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