Provider Demographics
NPI:1407188899
Name:JOSHUA S PARRISH, DC, LLC
Entity Type:Organization
Organization Name:JOSHUA S PARRISH, DC, LLC
Other - Org Name:PARRISH FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER/CHIROPRACTIC PHYSICI
Authorized Official - Prefix:
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:863-675-0421
Mailing Address - Street 1:80 N MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:LABELLE
Mailing Address - State:FL
Mailing Address - Zip Code:33935
Mailing Address - Country:US
Mailing Address - Phone:863-675-0421
Mailing Address - Fax:863-342-8149
Practice Address - Street 1:80 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:LABELLE
Practice Address - State:FL
Practice Address - Zip Code:33935
Practice Address - Country:US
Practice Address - Phone:863-675-0421
Practice Address - Fax:863-342-8149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9809111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH9809OtherSTATE LICENSE