Physician Compare National (NPI:1356413686)

HEALTHCARE PROVIDER: LARRY NEIL KING 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	1356413686
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133396971
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120905000070
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KING
	Individual professional last name
Provider First Name	LARRY
	Individual professional first name
Provider Middle Name	N.
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1983
	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	3280 URBANA PIKE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 206
	Group Practice or individual's line 2 address
City	IJAMSVILLE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	217549406
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M