Provider Demographics
NPI:1669607032
Name:PARHAM, JEFFREY EUGENE (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:EUGENE
Last Name:PARHAM
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 1:184 S PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-1918
Mailing Address - Country:US
Mailing Address - Phone:303-722-1104
Mailing Address - Fax:
Practice Address - Street 1:184 S PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-1918
Practice Address - Country:US
Practice Address - Phone:303-722-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor