Provider Demographics
NPI:1386678811
Name:O'QUINN, HEATHER RENE (DC)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:RENE
Last Name:O'QUINN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:RENE
Other - Last Name:YON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1965 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 200B
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-6213
Mailing Address - Country:US
Mailing Address - Phone:540-373-1303
Mailing Address - Fax:540-373-6061
Practice Address - Street 1:1965 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 200B
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-6213
Practice Address - Country:US
Practice Address - Phone:540-373-1303
Practice Address - Fax:540-373-6061
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA193383OtherANTHEM BCBS
VA7694364OtherAETNA
VA672573OtherACN GROUP
VAF4380001OtherCAREFIRST BCBS
VAF4380001OtherCAREFIRST BCBS