Provider Demographics
NPI:1376813766
Name:QUALITY HEALTHCARE ALLIANCE LLC
Entity Type:Organization
Organization Name:QUALITY HEALTHCARE ALLIANCE LLC
Other - Org Name:DUNN CHIROPRACTIC INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-752-2440
Mailing Address - Street 1:511 WEST ALEXANDER STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-7116
Mailing Address - Country:US
Mailing Address - Phone:813-752-2440
Mailing Address - Fax:813-752-0171
Practice Address - Street 1:511 WEST ALEXANDER STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-7116
Practice Address - Country:US
Practice Address - Phone:813-752-2440
Practice Address - Fax:813-752-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7577111N00000X
FLME96407207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty