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Physician Compare National (NPI:1235467051)

HEALTHCARE PROVIDER: MICAH STEPHEN HAMILTON DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1235467051
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8527294891
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20131114001950
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HAMILTON
Individual professional last name
Provider First Name MICAH
Individual professional first name
Provider Middle Name STEPHEN
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOS ANGELES COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 2009
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 23792 ROCKFIELD BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 210
Group Practice or individual's line 2 address
City LAKE FOREST
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 926302830
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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