Provider Demographics
NPI:1225204738
Name:HENDRIX, QUENTIN GREER (DC)
Entity Type:Individual
Prefix:DR
First Name:QUENTIN
Middle Name:GREER
Last Name:HENDRIX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MEDICAL PARK DR STE 2
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3525
Mailing Address - Country:US
Mailing Address - Phone:256-762-1110
Mailing Address - Fax:
Practice Address - Street 1:6 MEDICAL PARK DR STE 2
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3525
Practice Address - Country:US
Practice Address - Phone:256-762-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2244111N00000X
NYX013228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor