Provider Demographics
NPI:1184713067
Name:QUINN, RICHARD HOLT (DC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:HOLT
Last Name:QUINN
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 1:40 S 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-2134
Mailing Address - Country:US
Mailing Address - Phone:303-654-1101
Mailing Address - Fax:303-654-1212
Practice Address - Street 1:40 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2134
Practice Address - Country:US
Practice Address - Phone:303-654-1101
Practice Address - Fax:303-654-1212
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COT60509Medicare UPIN
CO13503Medicare PIN