Provider Demographics
NPI:1548982770
Name:CARTER, QUINTON (QMHS)
Entity type:Individual
Prefix:
First Name:QUINTON
Middle Name:
Last Name:CARTER
Suffix:
Gender:M
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7102
Mailing Address - Country:US
Mailing Address - Phone:702-823-4300
Mailing Address - Fax:702-906-1844
Practice Address - Street 1:1830 E SAHARA AVE STE 201
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3739
Practice Address - Country:US
Practice Address - Phone:702-823-4300
Practice Address - Fax:702-906-1844
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner