Physician Compare National (NPI:1326543075)

HEALTHCARE PROVIDER: BLAIR ANN-BRESLIN WOLFERT 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	1326543075
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224383815
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180622001251
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRESLIN
	Individual professional last name
Provider First Name	BLAIR
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2017
	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	3770 CHICAGO DR
	Group Practice or individual's line 1 address
City	HUDSONVILLE
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	494261637
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y