Physician Compare National (NPI:1215094420)

HEALTHCARE PROVIDER: WILLIAM JAMES ABBOTT 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	1215094420
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951385103
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040615001268
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABBOTT
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DC
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	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	133 W MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	NORTHVILLE
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481671548
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y