Provider Demographics
NPI:1447564406
Name:PARNO, AMY L (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:PARNO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 COMMERCE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9206
Mailing Address - Country:US
Mailing Address - Phone:651-788-9019
Mailing Address - Fax:
Practice Address - Street 1:670 COMMERCE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-9206
Practice Address - Country:US
Practice Address - Phone:651-788-9019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5397111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor