Healthcare Provider Details

I. General information

NPI: 1124387139
Provider Name (Legal Business Name): IAN CHASE PARKER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2012
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MOUNT EUSTIS RD
LITTLETON NH
03561-3712
US

IV. Provider business mailing address

25 MOUNT EUSTIS RD
LITTLETON NH
03561-3712
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-2464
  • Fax: 603-444-5209
Mailing address:
  • Phone: 603-444-2464
  • Fax: 603-444-5209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberEL07728
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberE-10247
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberEL07728
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-10247
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: