Physician Compare National (NPI:1225488091)

HEALTHCARE PROVIDER: AMBER LYN BITTNER 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	1225488091
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981996543
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160630001333
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BITTNER
	Individual professional last name
Provider First Name	AMBER LYN
	Individual professional first name
Provider Middle Name	BRENDA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	2016
	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	154 LODI ST
	Group Practice or individual's line 1 address
City	LODI
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	535551217
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y