Physician Compare National (NPI:1396101309)

HEALTHCARE PROVIDER: MICHAEL BABCOCK

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396101309
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375840903
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160328000823
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BABCOCK
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN COLLEGE OF CHIROPRACTIC
	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	101 N COMMERCIAL ST
	Group Practice or individual's line 1 address
City	CLARK
	Group Practice or individual's city
State	SD
	Group Practice or individual's state
Zip Code	572251541
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y