Provider Demographics
NPI:1851374011
Name:PARLIMENT, JOEL W
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:W
Last Name:PARLIMENT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4209
Mailing Address - Country:US
Mailing Address - Phone:970-663-0135
Mailing Address - Fax:970-461-1422
Practice Address - Street 1:2923 GINNALA DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2702
Practice Address - Country:US
Practice Address - Phone:970-669-6660
Practice Address - Fax:970-663-0721
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35996207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY112746200Medicaid
CO01359967Medicaid
COPAM9358OtherANTHEM BCBS
NE$$$$$$$$$Medicaid
NE$$$$$$$$$Medicaid
CO110159079Medicare PIN
COCM9358Medicare PIN