Provider Demographics
NPI:1083380588
Name:QUINN, EMILIE (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42669 NEW DAWN TER
Mailing Address - Street 2:
Mailing Address - City:BRAMBLETON
Mailing Address - State:VA
Mailing Address - Zip Code:20148-8084
Mailing Address - Country:US
Mailing Address - Phone:856-905-7618
Mailing Address - Fax:
Practice Address - Street 1:17333 PICKWICK DR
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-6173
Practice Address - Country:US
Practice Address - Phone:919-823-6533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5359111N00000X
VA0104557842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor