Physician Compare National (NPI:1255713673)

HEALTHCARE PROVIDER: JEANNIQUE NORBERT 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	1255713673
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779887161
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160204001898
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NORBERT
	Individual professional last name
Provider First Name	JEANNIQUE
	Individual professional first name
Provider Middle Name	ENEFA
	Individual professional middle 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	2015
	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	2951 RANCH RD 620
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 106
	Group Practice or individual's line 2 address
City	AUSTIN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	787387141
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y