Provider Demographics
NPI:1871648022
Name:QUEST ORTHOPEDICS, PC
Entity Type:Organization
Organization Name:QUEST ORTHOPEDICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:FENWICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-882-6637
Mailing Address - Street 1:PO BOX 316
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-0316
Mailing Address - Country:US
Mailing Address - Phone:812-882-6637
Mailing Address - Fax:812-886-8938
Practice Address - Street 1:2121 WILLOW ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-5355
Practice Address - Country:US
Practice Address - Phone:812-882-6637
Practice Address - Fax:812-886-8938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty