Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 601-0500 | NH |
NPI | 1790781045 |
---|---|
Provider Name | Dr. W. Keith Parrish |
First Address | Gilford, NH 03247-7566 |
Second Address | Gilford, NH 03249-6976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T28774 | (02) |