Quinn, Theresa M
Quinn, Theresa M is an individual health care provider with primary practice located at N79W14684 Appleton Ave , Menomonee Falls WI 53051-4308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Quinn, Theresa M can be contacted via phone (262) 229-4060.Contact Information
Primary practice address
N79W14684 Appleton Ave
Menomonee Falls WI 53051-4308
Phone: (262) 229-4060
Fax: (262) 229-4062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 45074 | Wisconsin |
Profile Details
| NPI number | 1821040528 |
|---|---|
| LBN Legal business name | Quinn, Theresa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 19th, 2021 - 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 | 1821040528 | NPPES |
| Other | 001856578Z | HUMANA | |
| MEDICAID | 34355300 | HUMANA | |
| MEDICAID | 1821040528 | HUMANA |
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