Provider Demographics
NPI:1447413000
Name:HEALTH QUEST LLC
Entity Type:Organization
Organization Name:HEALTH QUEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANENE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:EBERHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-782-0330
Mailing Address - Street 1:3013 N RANGE LINE RD
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-9753
Mailing Address - Country:US
Mailing Address - Phone:417-782-0330
Mailing Address - Fax:417-782-9339
Practice Address - Street 1:3013 N RANGE LINE RD
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-9753
Practice Address - Country:US
Practice Address - Phone:417-782-0330
Practice Address - Fax:417-782-9339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE006394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA1109Medicare PIN
MOT91073Medicare UPIN