Provider Demographics
NPI:1487694873
Name:RIBELLIA, QUINCY L (DC)
Entity type:Individual
Prefix:DR
First Name:QUINCY
Middle Name:L
Last Name:RIBELLIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 N KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-5241
Mailing Address - Country:US
Mailing Address - Phone:509-888-1580
Mailing Address - Fax:
Practice Address - Street 1:317 N MISSION ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2005
Practice Address - Country:US
Practice Address - Phone:509-888-1598
Practice Address - Fax:509-888-1599
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor