Physician Compare National (NPI:1205187010)

HEALTHCARE PROVIDER: DOUGLAS CHARLES HALSEY D.C. , ACUPUNCTURIST

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1205187010
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395989487
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130911000157
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HALSEY
	Individual professional last name
Provider First Name	DOUGLAS
	Individual professional first name
Provider Middle Name	CHARLES
	Individual professional middle name
Provider Name Suffix Text	I
	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	CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
	Individual professional's medical school
Graduation Year	2009
	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	28340 TRAILS EDGE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	BONITA SPRINGS
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	341347586
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2399927178
	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	Y