Physician Compare National (NPI:1053562140)

HEALTHCARE PROVIDER: OLIVIA POWERS WEATHERS 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	1053562140
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355489253
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091113000363
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEATHERS
	Individual professional last name
Provider First Name	OLIVIA
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	2009
	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	276 NEWPORT RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	NEW LONDON
	Group Practice or individual's city
State	NH
	Group Practice or individual's state
Zip Code	032575468
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M