Wallace John Quinlan in Philadelphia - Sports Physician
Wallace John Quinlan - NPI 1124183884
Wallace John Quinlan is a Sports Physician in Philadelphia, Pennsylvania. Wallace John Quinlan practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Wallace John Quinlan is 1124183884. The last update date is 2007-07-08.
Wallace John Quinlan's current location address is 7301 Hasbrook Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157227200. The mailing address for Wallace John Quinlan is 7301 Hasbrook Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace John Quinlan |
|---|---|
| Address | 7301 Hasbrook Ave, Philadelphia, Pennsylvania |
| Phone Number | 2157227200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1124183884 |
|---|---|
| Provider Enumeration Date | 2006-12-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7301 Hasbrook Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191113003 |
| Phone Number | 2157227200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC001201L |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61076000 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Wallace John Quinlan by the Centers for Medicare & Medicaid Services?
The Wallace John Quinlan has been issued the NPI (National Provider Identifier) 1124183884. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Wallace John Quinlan is physically located?
The Wallace John Quinlan is situated at the following address: 7301 Hasbrook Ave, Philadelphia, PA 191113003.
What is the Wallace John Quinlan's area of specialization and corresponding taxonomy classification?
The Wallace John Quinlan's specialty field is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124183884 to Wallace John Quinlan?
The Centers for Medicare & Medicaid Services originally issued the 1124183884 to Wallace John Quinlan on 2006-12-23.
As of what date was the information pertaining to Wallace John Quinlan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wallace John Quinlan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1194728618
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