Physician Compare National (NPI:1710004346)

HEALTHCARE PROVIDER: WESLEY VINTON KROLL 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	1710004346
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355539008
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101221001005
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KROLL
	Individual professional last name
Provider First Name	WESLEY
	Individual professional first name
Provider Middle Name	V
	Individual professional middle 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	1997
	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	1 E MAIN ST
	Group Practice or individual's line 1 address
City	FROSTBURG
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	215321331
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3016891200
	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