MEDICARE: DR. PAUL ALAN PARRISH DC

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	2024000511	MO

General Provider Information

NPI Number	:	1831969187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ALAN PARRISH DC

Provider Business Mailing Address
First Line	:	594 BRIDGEBEND RD
Second Line	:
City	:	MANCHESTER
State	:	MO
Zip	:	63021-6704
Country	:	US
Telephone Number	:	484-366-6324
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 OZARK TRAIL DR STE 105
Second Line	:
City	:	ELLISVILLE
State	:	MO
Zip	:	63011-2156
Country	:	US
Telephone Number	:	636-207-6600
Fax Number	:

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

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	01/08/2024

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