Provider Demographics
NPI:1336484195
Name:PARRISH, DANIEL PHILIP
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:PHILIP
Last Name:PARRISH
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 1:6 WIRT ST NW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2807
Mailing Address - Country:US
Mailing Address - Phone:703-777-6653
Mailing Address - Fax:
Practice Address - Street 1:6 WIRT ST NW
Practice Address - Street 2:SUITE 100
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2807
Practice Address - Country:US
Practice Address - Phone:703-777-6653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000116171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist