Provider Demographics
NPI:1013193945
Name:ALAN S QUINT MD PC
Entity Type:Organization
Organization Name:ALAN S QUINT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:QUINT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-755-3148
Mailing Address - Street 1:33 2ND ST E
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6108
Mailing Address - Country:US
Mailing Address - Phone:406-755-3148
Mailing Address - Fax:406-755-3499
Practice Address - Street 1:33 2ND ST E
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6108
Practice Address - Country:US
Practice Address - Phone:406-755-3148
Practice Address - Fax:406-755-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT3771261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty