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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184624421 NPPES
Arizona MEDICAID 847288

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