Provider Demographics
NPI:1518569060
Name:BEHRENDS, QUINN SCOTT (DC)
Entity type:Individual
Prefix:
First Name:QUINN
Middle Name:SCOTT
Last Name:BEHRENDS
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 1:203 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IA
Mailing Address - Zip Code:52310-1451
Mailing Address - Country:US
Mailing Address - Phone:319-480-1511
Mailing Address - Fax:
Practice Address - Street 1:139 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IA
Practice Address - Zip Code:52310-1751
Practice Address - Country:US
Practice Address - Phone:319-480-1511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA106176111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor