Provider Demographics
NPI:1871934422
Name:QUINN, PATRICK DONOVAN
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:DONOVAN
Last Name:QUINN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 E WASHINGTON ST
Mailing Address - Street 2:UNIT 301
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-6596
Mailing Address - Country:US
Mailing Address - Phone:901-606-2543
Mailing Address - Fax:
Practice Address - Street 1:355 W 16TH ST
Practice Address - Street 2:IU HEALTH NEUROSCIENCE CENTER, GOODMAN HALL, SUITE 2800
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-7176
Practice Address - Country:US
Practice Address - Phone:317-963-7308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program