Quinlan, Wallace John
Quinlan, Wallace John is an sole proprietor health care provider with primary practice located at 7301 Hasbrook Ave , Philadelphia PA 19111-3003. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Quinlan, Wallace John can be contacted via phone (215) 722-7200.Contact Information
Primary practice address
7301 Hasbrook Ave
Philadelphia PA 19111-3003
Phone: (215) 722-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | DC001201L | Pennsylvania |
Profile Details
| NPI number | 1124183884 |
|---|---|
| LBN Legal business name | Quinlan, Wallace John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124183884 | NPPES |
| Pennsylvania | MEDICAID | 0061076000 |
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