Provider Demographics
NPI:1407028541
Name:PARRY, ZACHARY ISSAC (DC)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:ISSAC
Last Name:PARRY
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 1:4685 MERLE HAY RD STE 106
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-1982
Mailing Address - Country:US
Mailing Address - Phone:515-313-3730
Mailing Address - Fax:
Practice Address - Street 1:4685 MERLE HAY RD STE 106
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-1982
Practice Address - Country:US
Practice Address - Phone:515-313-3730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI20410001OtherMEDICARE PTAN