Physician Compare National (NPI:1427100817)

HEALTHCARE PROVIDER: HEIDI E OLSON 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	1427100817
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739279522
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071217000628
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OLSON
	Individual professional last name
Provider First Name	HEIDI
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE - WEST
	Individual professional's medical school
Graduation Year	1995
	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	1290 MONUMENT BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	CONCORD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945204480
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y