Provider Demographics
NPI:1124226345
Name:QUINN, BETHANIE SCHATZ (DC)
Entity Type:Individual
Prefix:DR
First Name:BETHANIE
Middle Name:SCHATZ
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 1:925 HIGHWAY 55 STE 103
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-3735
Mailing Address - Country:US
Mailing Address - Phone:651-210-2978
Mailing Address - Fax:
Practice Address - Street 1:925 HIGHWAY 55 STE 103
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-3735
Practice Address - Country:US
Practice Address - Phone:651-437-6778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4772111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN078H7SCOtherMNBLS
MN35003598Medicare UPIN