Provider Demographics
NPI:1396627238
Name:HEALTH QUEST CHIROPRACTIC & PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:HEALTH QUEST CHIROPRACTIC & PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ETTLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:443-253-9837
Mailing Address - Street 1:7920 MCDONOGH RD STE 101
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5249
Mailing Address - Country:US
Mailing Address - Phone:410-356-9939
Mailing Address - Fax:410-356-9987
Practice Address - Street 1:6427 BALTIMORE NATIONAL PIKE STE B
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3912
Practice Address - Country:US
Practice Address - Phone:410-801-9579
Practice Address - Fax:410-356-9987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty