Physician Compare National (NPI:1700184207)

HEALTHCARE PROVIDER: KRISTAL WOLF WEINSTEIN 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	1700184207
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608050950
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171117001427
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEINSTEIN
	Individual professional last name
Provider First Name	KRISTAL
	Individual professional first name
Provider Middle Name	WOLF
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	CANDK WEINSTEIN PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9638445380
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	849 3RD AVE W
	Group Practice or individual's line 1 address
City	DICKINSON
	Group Practice or individual's city
State	ND
	Group Practice or individual's state
Zip Code	586013810
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7014831990
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y