Healthcare Provider Details

I. General information

NPI: 1336142298
Provider Name (Legal Business Name): JAMES ROSS PARLIAMENT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 CHESTER BLVD
RICHMOND IN
47374-1909
US

IV. Provider business mailing address

1400 CHESTER BLVD
RICHMOND IN
47374-1909
US

V. Phone/Fax

Practice location:
  • Phone: 765-966-3585
  • Fax: 765-966-9274
Mailing address:
  • Phone: 765-966-3585
  • Fax: 765-966-9274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number01034140
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: