Physician Compare National (NPI:1093891855)

HEALTHCARE PROVIDER: NICHOLAS STEVEN DEVICH 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	1093891855
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486829470
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111201000733
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEVICH
	Individual professional last name
Provider First Name	NICHOLAS
	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	NORTHWESTERN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2000
	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	1510 8TH ST S
	Group Practice or individual's line 1 address
City	VIRGINIA
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	557923346
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y