Provider Demographics
NPI:1790781045
Name:PARRISH, W. KEITH (DC)
Entity Type:Individual
Prefix:DR
First Name:W.
Middle Name:KEITH
Last Name:PARRISH
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:PO BOX 7566
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03247-7566
Mailing Address - Country:US
Mailing Address - Phone:603-528-4466
Mailing Address - Fax:603-528-0660
Practice Address - Street 1:25 COUNTRY CLUB RD
Practice Address - Street 2:UNIT 404
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6976
Practice Address - Country:US
Practice Address - Phone:603-528-4466
Practice Address - Fax:603-528-0660
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH601-0500111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARE5987Medicare ID - Type Unspecified
T28774Medicare UPIN