Provider Demographics
NPI:1588835581
Name:Q&R ENTERPRISES, PLLC
Entity Type:Organization
Organization Name:Q&R ENTERPRISES, PLLC
Other - Org Name:QUINN CHIROPRACTIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-578-0012
Mailing Address - Street 1:479 OLD BOILING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-1960
Mailing Address - Country:US
Mailing Address - Phone:864-578-0012
Mailing Address - Fax:864-578-9991
Practice Address - Street 1:479 OLD BOILING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-1960
Practice Address - Country:US
Practice Address - Phone:864-578-0012
Practice Address - Fax:864-578-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCH2654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2654Medicaid
SCU884907649Medicare UPIN
SC7649Medicare PIN