Physician Compare National (NPI:1235304072)

HEALTHCARE PROVIDER: JESS HUNLEY CRAWFORD III 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	1235304072
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810058757
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081210000335
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CRAWFORD
	Individual professional last name
Provider First Name	JESS
	Individual professional first name
Provider Name Suffix Text	III
	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	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CHIROPRACTIC CARE CENTER INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2668533597
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	957 CHANDLER CT
	Group Practice or individual's line 1 address
City	WALDORF
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	206022800
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3016384300
	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