Physician Compare National (NPI:1700376746)

HEALTHCARE PROVIDER: SARAH MARGARET CONNELLY 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	1700376746
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193078251
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181019001595
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CONNELLY
	Individual professional last name
Provider First Name	SARAH
	Individual professional first name
Provider Middle Name	MARGARET
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
	Individual professional's medical school
Graduation Year	2018
	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	500 S DAVIS ST B
	Group Practice or individual's line 1 address
Line 2 Street Address	INNATE WAY CHIROPRACTIC LLC
	Group Practice or individual's line 2 address
City	HAMILTON
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	646441434
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M