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Physician Compare National (NPI:1699210484)

HEALTHCARE PROVIDER: JENNIFER FABRO DC

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

Individual Professional Information

NPI 1699210484
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4789931445
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180726001044
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name FABRO
Individual professional last name
Provider First Name JENNIFER
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NATIONAL COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 2014
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 6850 N ROCHESTER RD
Group Practice or individual's line 1 address
City ROCHESTER HILLS
Group Practice or individual's city
State MI
Group Practice or individual's state
Zip Code 483064339
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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