Physician Compare National (NPI:1174973044)

HEALTHCARE PROVIDER: CHASE RAND 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	1174973044
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032400825
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160627000505
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RAND
	Individual professional last name
Provider First Name	CHASE
	Individual professional first name
Provider Middle Name	WARREN
	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	2015
	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	6861 UPPER AFTON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	WOODBURY
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	551254418
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y