Provider Demographics
NPI:1245461706
Name:PARISH, JAMES BRENDAN (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRENDAN
Last Name:PARISH
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 1:21 W SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:BONNE TERRE
Mailing Address - State:MO
Mailing Address - Zip Code:63628-1509
Mailing Address - Country:US
Mailing Address - Phone:573-358-7655
Mailing Address - Fax:573-358-7652
Practice Address - Street 1:21 W SCHOOL ST
Practice Address - Street 2:
Practice Address - City:BONNE TERRE
Practice Address - State:MO
Practice Address - Zip Code:63628-1509
Practice Address - Country:US
Practice Address - Phone:573-358-7655
Practice Address - Fax:573-358-7652
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011492111N00000X
MO2010002033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor