Provider Demographics
NPI:1215922240
Name:PARRY, DAVID DEAN (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DEAN
Last Name:PARRY
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 1:1810 104TH ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4814
Mailing Address - Country:US
Mailing Address - Phone:425-337-5550
Mailing Address - Fax:425-337-5551
Practice Address - Street 1:1810 104TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4814
Practice Address - Country:US
Practice Address - Phone:425-337-5550
Practice Address - Fax:425-337-5551
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00000965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T03044Medicare UPIN