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Physician Compare National (NPI:1013079383)

HEALTHCARE PROVIDER: DAVID STEPHEN PENCE D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1013079383
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1951577949
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20111221000487
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PENCE
Individual professional last name
Provider First Name DAVID
Individual professional first name
Provider Middle Name S
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOGAN COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 1982
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 119 2ND AVE N
Group Practice or individual's line 1 address
City FRANKLIN
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 370642508
Group Practice or individual's zip code (9 digits when available)
Phone Number 6157943002
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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