MEDICARE: DR. PAUL A PARSONS 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	4773	CO

General Provider Information

NPI Number	:	1407070907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL A PARSONS D.C.

Provider Business Mailing Address
First Line	:	916 GRAND AVE
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-3661
Country	:	US
Telephone Number	:	970-947-1240
Fax Number	:	970-947-1244

Provider Business Practice Location Address
First Line	:	916 GRAND AVE
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-3661
Country	:	US
Telephone Number	:	970-947-1240
Fax Number	:	970-947-1244

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/11/2008

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