Provider Demographics
NPI:1437345659
Name:BLANE L. PARROTT
Entity Type:Organization
Organization Name:BLANE L. PARROTT
Other - Org Name:PARROTT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BLANE
Authorized Official - Middle Name:LELAND
Authorized Official - Last Name:PARROTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-877-9355
Mailing Address - Street 1:5849 ALMOND ST
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4506
Mailing Address - Country:US
Mailing Address - Phone:530-877-9355
Mailing Address - Fax:
Practice Address - Street 1:5849 ALMOND ST
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-4506
Practice Address - Country:US
Practice Address - Phone:530-877-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty