Physician Compare National (NPI:1093015760)

HEALTHCARE PROVIDER: JACKIE STEEL 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	1093015760
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769780709
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160407001485
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STEEL
	Individual professional last name
Provider First Name	JACKIE
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE - WEST
	Individual professional's medical school
Graduation Year	2010
	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	1043 STUART ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	LAFAYETTE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945494063
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9252845581
	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