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General NPI Number Information
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NPI Number | 1326371121
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Entity Type | Individual
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Provider Name | JOSHUA STEPHEN PARRISH DC
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Gender | Male
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 80 N MAIN STREET
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City | LABELLE
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State | FL
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Zip | 33935
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Country | US
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Telephone | 863-675-0421
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Fax | 863-342-8149
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Provider Business Mailing Address
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Address Line | 80 N MAIN STREET
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City | LABELLE
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State | FL
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Zip | 33935
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Country | US
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Telephone | 863-675-0421
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Fax | 863-342-8149
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9809
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License Number State | FL
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Legacy Identifiers
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Identifier #1
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Identifier Code | CH9809
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Identifier Type | OTHER
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Identifier State | FL
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Identifier Issuer | STATE LICENSE
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Identifier #2
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Identifier Code | 002098600
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Identifier Type | MEDICAID
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Identifier State | FL
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Identifier Issuer |
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Identifier #3
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Identifier Code | 2202J
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Identifier Type | OTHER
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Identifier State | FL
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Identifier Issuer | BCBS
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 002098600
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Identifier Type | MEDICAID
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Identifier State | FL
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Identifier Issuer |
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Identifier #2
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Identifier Code | 2202J
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Identifier Type | OTHER
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Identifier State | FL
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Identifier Issuer | BCBS
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Identifier #3
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Identifier Code | CH9809
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Identifier Type | OTHER
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Identifier State | FL
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Identifier Issuer | STATE LICENSE
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