Provider Demographics
NPI:1336943588
Name:PARISH, ISRAEL ETHAN
Entity type:Individual
Prefix:
First Name:ISRAEL
Middle Name:ETHAN
Last Name:PARISH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 W OLD BARN RD
Mailing Address - Street 2:
Mailing Address - City:LURAY
Mailing Address - State:VA
Mailing Address - Zip Code:22835-9055
Mailing Address - Country:US
Mailing Address - Phone:540-860-8076
Mailing Address - Fax:
Practice Address - Street 1:7 W OLD BARN RD
Practice Address - Street 2:
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-9055
Practice Address - Country:US
Practice Address - Phone:540-860-8076
Practice Address - Fax:540-860-8076
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program