Provider Demographics
NPI:1841303344
Name:PARNELL PREVOST, CAROL A (DC)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:A
Last Name:PARNELL PREVOST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5046
Mailing Address - Country:US
Mailing Address - Phone:603-882-5742
Mailing Address - Fax:
Practice Address - Street 1:382 MAIN ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5046
Practice Address - Country:US
Practice Address - Phone:603-882-5742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH108-1092111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0498299OtherAETNA
NH131710OtherCIGNA
NH0503500YONH01OtherANTHEM BLUE CROSS/ BLUE S
NHNA1767OtherHARVARD
NH0498299OtherAETNA