Provider Demographics
NPI:1750317780
Name:SKRIEN, PARRISH TROY (DC)
Entity Type:Individual
Prefix:DR
First Name:PARRISH
Middle Name:TROY
Last Name:SKRIEN
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:P.O. BOX 50
Mailing Address - Street 2:
Mailing Address - City:NICOLLET
Mailing Address - State:MN
Mailing Address - Zip Code:56074-0050
Mailing Address - Country:US
Mailing Address - Phone:507-344-8300
Mailing Address - Fax:507-344-8334
Practice Address - Street 1:315 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:NORTH MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56003-2223
Practice Address - Country:US
Practice Address - Phone:507-344-8300
Practice Address - Fax:507-344-8334
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN694534100OtherMN HEALTH CARE PROGRAMS
MN694534100OtherMN HEALTH CARE PROGRAMS
MN108K0CHOtherBCBS MN GROUP NUMBER
MN108K1SKOtherBCBS OF MN INDIVIDIAL #
MN694534100OtherMN HEALTH CARE PROGRAMS
MN350004966Medicare PIN
MN350001423Medicare ID - Type Unspecified