Physician Compare National (NPI:1225449937)

HEALTHCARE PROVIDER: DERRICK NOHL 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	1225449937
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961721683
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150501000102
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NOHL
	Individual professional last name
Provider First Name	DERRICK
	Individual professional first name
Provider Middle Name	EARL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2013
	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	1201 US HWY 10 W C
	Group Practice or individual's line 1 address
Line 2 Street Address	NOHL FAMILY CHIROPRACTIC
	Group Practice or individual's line 2 address
City	LIVINGSTON
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	590479022
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y