Provider Demographics
NPI:1790273266
Name:O'QUINN, SARAH (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:O'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:PO BOX 1285
Mailing Address - Street 2:
Mailing Address - City:PURVIS
Mailing Address - State:MS
Mailing Address - Zip Code:39475-1285
Mailing Address - Country:US
Mailing Address - Phone:601-348-8866
Mailing Address - Fax:601-794-0083
Practice Address - Street 1:105 MAIN ST
Practice Address - Street 2:
Practice Address - City:PURVIS
Practice Address - State:MS
Practice Address - Zip Code:39475-5437
Practice Address - Country:US
Practice Address - Phone:601-348-8866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSMS-1289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor