Provider Demographics
NPI:1326016965
Name:PARSONS, GARY DUANE (DC)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:DUANE
Last Name:PARSONS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:52208-3232
Mailing Address - Country:US
Mailing Address - Phone:641-792-2344
Mailing Address - Fax:641-792-0482
Practice Address - Street 1:222 1ST ST N
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:52208-3232
Practice Address - Country:US
Practice Address - Phone:641-792-2344
Practice Address - Fax:641-792-0482
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0019794Medicaid
T00233Medicare UPIN
IA01979Medicare ID - Type Unspecified