Physician Compare National (NPI:1336257781)

HEALTHCARE PROVIDER: CHRIS ALLEN HUMBLE 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	1336257781
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608057823
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110222000429
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUMBLE
	Individual professional last name
Provider First Name	CHRIS
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
	Individual professional's medical school
Graduation Year	1986
	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	508 E FRESNO AVE
	Group Practice or individual's line 1 address
City	PONCA CITY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	746012817
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M