Quinby, Jonathan Scott

Quinby, Jonathan Scott is an individual health care provider with primary practice located at 17051 Dallas Pkwy Ste 400 , Addison TX 75001-7108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Quinby, Jonathan Scott can be contacted via phone (469) 243-9390.

Contact Information

Primary practice address
17051 Dallas Pkwy Ste 400 Addison TX 75001-7108
Phone: (469) 243-9390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M1300 Texas

Profile Details

NPI number 1679572499
LBN Legal business name Quinby, Jonathan Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated May 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679572499 NPPES
Texas Other 8BR112 BCBS
Texas Other M1300 BCBS
Texas MEDICAID 187180802 BCBS

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