Healthcare Provider Details

I. General information

NPI: 1366070161
Provider Name (Legal Business Name): JOSEPH WILLIAM QUINLAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE ML 4009
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE ML 4009
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-7480
  • Fax: 513-636-7360
Mailing address:
  • Phone: 513-636-7480
  • Fax: 513-636-7360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License Number34.018693
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: