Physician Compare National (NPI:1659502482)

HEALTHCARE PROVIDER: BEN ADAM PITTMAN 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	1659502482
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325186547
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091109000648
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PITTMAN
	Individual professional last name
Provider First Name	BEN
	Individual professional first 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	2009
	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	2116 E KIEHL AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	BACK TO LIFE HEALTH CENTER
	Group Practice or individual's line 2 address
City	SHERWOOD
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	721203130
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M