| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZACH QUINCE | 1104432616 | 2020-09-20 |
Zach Quince is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104432616. Registration indicates Zach Quince is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Zach Quince |
| Practice Office Address | 370 BIRCH ST IMPERIAL, PA US |
| Practice Office Telephone | 4126671237 |
| Mailing Address | 370 BIRCH ST IMPERIAL, PA 151261158 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |