Physician Compare National (NPI:1154495521)

HEALTHCARE PROVIDER: DONALD KENNETH LIEBELL 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	1154495521
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365508991
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090306000318
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIEBELL
	Individual professional last name
Provider First Name	DONALD
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	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	1992
	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	477 VIKING DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 170
	Group Practice or individual's line 2 address
City	VIRGINIA BEACH
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	234527356
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y