Provider Demographics
NPI:1548623440
Name:PARKER, MICHAEL C (LAC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:C
Last Name:PARKER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 MOUNT CARMEL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-9763
Mailing Address - Country:US
Mailing Address - Phone:704-880-1310
Mailing Address - Fax:
Practice Address - Street 1:91 MOUNT CARMEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-9763
Practice Address - Country:US
Practice Address - Phone:828-505-3905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC738171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist