Provider Demographics
NPI:1407899214
Name:PARKES, THOMAS ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ANTHONY
Last Name:PARKES
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 1:231 BORDENTOWN-CROSSWICKS RD
Mailing Address - Street 2:SUITE #1A
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505
Mailing Address - Country:US
Mailing Address - Phone:609-298-9820
Mailing Address - Fax:609-298-9822
Practice Address - Street 1:231 BORDENTOWN-CROSSWICKS RD
Practice Address - Street 2:SUITE #1A
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505
Practice Address - Country:US
Practice Address - Phone:609-298-9820
Practice Address - Fax:609-298-9822
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00517700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ071333Medicare PIN