Physician Compare National (NPI:1659580165)

HEALTHCARE PROVIDER: JOHN WILLIAM PEPELNJAK III 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	1659580165
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254393093
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041103000253
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PEPELNJAK
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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	2004
	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	408 17TH AVE
	Group Practice or individual's line 1 address
City	TWO HARBORS
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	556161250
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y