Healthcare Provider Details

I. General information

NPI: 1386409340
Provider Name (Legal Business Name): MR. DONALD LAWRENCE PARISIEN I
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8303 HIGHWAY 20
SAINT MICHAEL ND
58370-9042
US

IV. Provider business mailing address

8303 HIGHWAY 20
SAINT MICHAEL ND
58370-9042
US

V. Phone/Fax

Practice location:
  • Phone: 701-351-9192
  • Fax:
Mailing address:
  • Phone: 701-351-9192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: