Quinn, Edward J
Quinn, Edward J is an sole proprietor health care provider with primary practice located at 150 Riviera Dr , Lake Havasu City AZ 86403-5735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Quinn, Edward J can be contacted via phone (928) 855-5090.Contact Information
Primary practice address
150 Riviera Dr
Lake Havasu City AZ 86403-5735
Phone: (928) 855-5090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 31681 | Arizona |
Profile Details
| NPI number | 1184624421 |
|---|---|
| LBN Legal business name | Quinn, Edward J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | May 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184624421 | NPPES |
| Arizona | MEDICAID | 847288 |
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