Provider Demographics
NPI:1013236892
Name:QUINT, JORDAN (DC)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:QUINT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7149 NOLENSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135
Mailing Address - Country:US
Mailing Address - Phone:615-819-0587
Mailing Address - Fax:615-819-0649
Practice Address - Street 1:7149 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135
Practice Address - Country:US
Practice Address - Phone:615-819-0587
Practice Address - Fax:615-819-0649
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002438111N00000X
TN2438111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Yes111N00000XChiropractic ProvidersChiropractor