Jonathan Edward Parrack
Internist Gastroenterologist
1441 Wilkins Cir
Casper
, Wyoming 82601-1337
Jonathan Edward Parrack
Internist Gastroenterologist
1441 Wilkins Cir
Casper
, Wyoming 82601-1337
(928) 642-5891
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About
Features
Specialties
- Internist
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Jonathan Edward Parrack
- Po Box 12313
- Prescott, AZ
- Zip : 86304-2313
- Phone : (928) 642-5891
Second Address
- Jonathan Edward Parrack
- 1441 Wilkins Cir
- Casper, WY
- Zip : 82601-1337
- Phone : (307) 233-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | DO1692 | NV |
| N | 111NI0900X | Internist | DO1692 | NV |
| Y | 207RG0100X | Gastroenterologist | 006486 | AZ |
National Provider Identifier
| NPI | 1043453046 |
|---|---|
| Provider Name | Jonathan Edward Parrack |
| First Address | Prescott, AZ 86304-2313 |
| Second Address | Casper, WY 82601-1337 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/04/2009 |
| Last Update Date | 31/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.