Provider Demographics
NPI:1427136746
Name:PARKER, JOHN A (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:PARKER
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 1:793 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1126
Mailing Address - Country:US
Mailing Address - Phone:781-871-6166
Mailing Address - Fax:781-878-7822
Practice Address - Street 1:793 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1126
Practice Address - Country:US
Practice Address - Phone:781-871-6166
Practice Address - Fax:781-878-7822
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA 904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3095681OtherAETNA
MA115579OtherHEALTH PARTNERS
MA2667447OtherCIGNA
MA716121OtherTUFTS
MAY35655OtherBLUE CROSS
MA352213OtherHPHC
MA352213OtherHPHC