Provider Demographics
NPI:1346019502
Name:SCHENK, PARKER JUSTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:PARKER
Middle Name:JUSTIN
Last Name:SCHENK
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 1:412 E OSKALOOSA ST
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-2208
Mailing Address - Country:US
Mailing Address - Phone:641-820-0151
Mailing Address - Fax:
Practice Address - Street 1:412 E OSKALOOSA ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-2208
Practice Address - Country:US
Practice Address - Phone:641-820-0151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA123536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor