Dr. Wallace John Quinlan
Chiropractic Sports Physician
7301 Hasbrook Ave
Philadelphia
, Pennsylvania 19111-3003
Dr. Wallace John Quinlan
Chiropractic Sports Physician
7301 Hasbrook Ave
Philadelphia
, Pennsylvania 19111-3003
(215) 722-7200
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Wallace John Quinlan
- 7301 Hasbrook Ave
- Philadelphia, PA
- Zip : 19111-3003
- Phone : (215) 722-7200
Second Address
- Dr. Wallace John Quinlan
- 7301 Hasbrook Ave
- Philadelphia, PA
- Zip : 19111-3003
- Phone : (215) 722-7200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | DC001201L | PA |
National Provider Identifier
| NPI | 1124183884 |
|---|---|
| Provider Name | Dr. Wallace John Quinlan |
| First Address | Philadelphia, PA 19111-3003 |
| Second Address | Philadelphia, PA 19111-3003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0061076000 | (05) | PA |
| T29012 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.