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Physician Compare National (NPI:1386610251)

HEALTHCARE PROVIDER: DAVID J WAGES 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 1386610251
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355443706
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070303000035
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WAGES
Individual professional last name
Provider First Name DAVID
Individual professional first name
Provider Middle Name JOHN
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DC
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name NORTHWESTERN COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 PHYSICAL MEDICINE AND REHABILITATION
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PHYSICAL MEDICINE AND REHABILITATION
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 115 MARGARET ST
Group Practice or individual's line 1 address
Line 2 Street Address F
Group Practice or individual's line 2 address
City BRANDON
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 335115257
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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