Provider Demographics
NPI:1841485604
Name:HEALTH QUEST CHIROPRACTIC INC
Entity type:Organization
Organization Name:HEALTH QUEST CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-530-3001
Mailing Address - Street 1:24830 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7032
Mailing Address - Country:US
Mailing Address - Phone:239-530-3001
Mailing Address - Fax:239-530-3004
Practice Address - Street 1:24830 S TAMIAMI TRL
Practice Address - Street 2:SUITE 1000
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7032
Practice Address - Country:US
Practice Address - Phone:239-530-3001
Practice Address - Fax:239-530-3004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH QUEST CHIROPRACTIC AND LASER CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-13
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID