Quincy Sowell
Quincy Sowell is a Student in an Organized Health Care Education/Training Program in Broadview, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2344 S 12th AveBroadview, IL 60155-4038
Phone: (708) 657-7619
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1316680101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2022 |
| Last updated in NPPES | April 19, 2022 |
| Certification date | April 19, 2022 |
| Mailing address | 2344 S 12th Ave, Broadview, IL 60155-4038 |