Provider Demographics
NPI:1033234596
Name:T.E.Q. & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:T.E.Q. & ASSOCIATES, INC.
Other - Org Name:WINCHESTER MEDICAL & HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:QUINLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-833-1500
Mailing Address - Street 1:28 E WATERLOO ST
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1138
Mailing Address - Country:US
Mailing Address - Phone:614-833-1500
Mailing Address - Fax:614-833-4024
Practice Address - Street 1:28 E WATERLOO ST
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-1138
Practice Address - Country:US
Practice Address - Phone:614-833-1500
Practice Address - Fax:614-833-4024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-52456207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0842164Medicaid
A16405Medicare UPIN
OHT9934511Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER