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Physician Compare National (NPI:1144331919)

HEALTHCARE PROVIDER: DAVID KEITH POWELL 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 1144331919
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3678602612
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100601000027
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name POWELL
Individual professional last name
Provider First Name DAVID
Individual professional first name
Provider Middle Name K
Individual professional middle name
Provider Name Suffix Text SR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1989
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name POWELL CHIROPRACTIC INC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 0749206290
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 490 RAMPART RANGE RD
Group Practice or individual's line 1 address
City WOODLAND PARK
Group Practice or individual's city
State CO
Group Practice or individual's state
Zip Code 808632429
Group Practice or individual's zip code (9 digits when available)
Phone Number 7196876096
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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