Healthcare Provider Details

I. General information

NPI: 1386678811
Provider Name (Legal Business Name): HEATHER RENE O'QUINN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS HEATHER RENE YON

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1965 JEFFERSON DAVIS HWY SUITE 200B
FREDERICKSBURG VA
22401-6213
US

IV. Provider business mailing address

1965 JEFFERSON DAVIS HWY SUITE 200B
FREDERICKSBURG VA
22401-6213
US

V. Phone/Fax

Practice location:
  • Phone: 540-373-1303
  • Fax: 540-373-6061
Mailing address:
  • Phone: 540-373-1303
  • Fax: 540-373-6061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104555914
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: