Provider Demographics
NPI:1750565875
Name:QUINN CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:QUINN CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-932-9211
Mailing Address - Street 1:530 N ESTRELLA PKWY
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-4137
Mailing Address - Country:US
Mailing Address - Phone:623-932-9211
Mailing Address - Fax:623-932-9210
Practice Address - Street 1:530 N ESTRELLA PKWY
Practice Address - Street 2:SUITE C-1
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338
Practice Address - Country:US
Practice Address - Phone:623-932-9211
Practice Address - Fax:623-932-9210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty