Provider Demographics
NPI:1972365625
Name:PARSLEY, GAGE
Entity Type:Individual
Prefix:
First Name:GAGE
Middle Name:
Last Name:PARSLEY
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 1:423 S SCIOTO ST
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1954
Mailing Address - Country:US
Mailing Address - Phone:740-248-3403
Mailing Address - Fax:
Practice Address - Street 1:423 S SCIOTO ST
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1954
Practice Address - Country:US
Practice Address - Phone:740-248-3403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker