Provider Demographics
NPI:1518237874
Name:PARHAM, JOSEPH RINCK (LMT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:RINCK
Last Name:PARHAM
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 OYSTER CATCHER PT UNIT A
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-2697
Mailing Address - Country:US
Mailing Address - Phone:239-272-3817
Mailing Address - Fax:239-649-1378
Practice Address - Street 1:1557 OYSTER CATCHER PT UNIT A
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-2697
Practice Address - Country:US
Practice Address - Phone:239-272-3817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0025924172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist