Provider Demographics
NPI:1104923747
Name:QUINLAN-BURR, DENISE MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MARIE
Last Name:QUINLAN-BURR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8053
Mailing Address - Country:US
Mailing Address - Phone:732-244-8585
Mailing Address - Fax:732-244-2989
Practice Address - Street 1:490 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8053
Practice Address - Country:US
Practice Address - Phone:732-244-8585
Practice Address - Fax:732-244-2989
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00422300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ76814OtherAETNA
NJ0224984000OtherAMERIHEALTH
NJ1959198OtherUNITED HEALTHCARE
NJ302167OtherACN GROUP
NJ1350118-002OtherCIGNA
NJ223341446OtherHORIZON BC/BS
NJ1959198OtherUNITED HEALTHCARE