Physician Compare National (NPI:1083737472)

HEALTHCARE PROVIDER: IRWIN MULNICK D.C., C.C.S.P.

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

Individual Professional Information
NPI	1083737472
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385832864
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101228000496
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MULNICK
	Individual professional last name
Provider First Name	IRWIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WESTERN STATES COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPICE/PALLIATIVE CARE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PAIN MANAGEMENT
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	PREVENTATIVE MEDICINE
	Third secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 4	SPORTS MEDICINE
	Fourth secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPICE/PALLIATIVE CARE, PAIN MANAGEMENT, PREVENTATIVE MEDICINE, SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	201 PARK ST
	Group Practice or individual's line 1 address
City	MCCALL
	Group Practice or individual's city
State	ID
	Group Practice or individual's state
Zip Code	83638
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y