Physician Compare National (NPI:1215335047)

HEALTHCARE PROVIDER: REBECCA WEIDNER 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	1215335047
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113244807
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150317002444
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEIDNER
	Individual professional last name
Provider First Name	REBECCA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	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	E5028 US HWY 14 AND 23
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	SPRING GREEN
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	535889692
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M