Provider Demographics
NPI:1558918854
Name:PARKINSON, PHILLIP DON (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:DON
Last Name:PARKINSON
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 1:5016 SPEDALE CT # 161
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6105
Mailing Address - Country:US
Mailing Address - Phone:615-905-1950
Mailing Address - Fax:
Practice Address - Street 1:1357 SAYBROOK XING
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179-5343
Practice Address - Country:US
Practice Address - Phone:314-330-6913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3091111N00000X
2416246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic