Provider Demographics
NPI:1437236742
Name:PARKER, DEBRA ARLENE (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:ARLENE
Last Name:PARKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DEBRA
Other - Middle Name:ARLENE
Other - Last Name:BILLINGSLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2600 COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2807
Mailing Address - Country:US
Mailing Address - Phone:614-801-4500
Mailing Address - Fax:614-801-1343
Practice Address - Street 1:2600 COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2807
Practice Address - Country:US
Practice Address - Phone:614-801-4500
Practice Address - Fax:614-801-1343
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06118111N00000X
OH3946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA47589OtherWELLMARK PROVIDER NUMBER
IAP00136091Medicare ID - Type UnspecifiedRAILROAD MEDICARE
IA47589Medicare ID - Type Unspecified
IA47589OtherWELLMARK PROVIDER NUMBER