Provider Demographics
NPI:1487462651
Name:TRAUB, PARKER SUE (DC)
Entity type:Individual
Prefix:
First Name:PARKER
Middle Name:SUE
Last Name:TRAUB
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 1:2301 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EMMETSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50536-1552
Mailing Address - Country:US
Mailing Address - Phone:712-852-3773
Mailing Address - Fax:712-852-3773
Practice Address - Street 1:2301 MAIN ST
Practice Address - Street 2:
Practice Address - City:EMMETSBURG
Practice Address - State:IA
Practice Address - Zip Code:50536-1552
Practice Address - Country:US
Practice Address - Phone:712-852-3773
Practice Address - Fax:712-852-3773
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA129324111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor