Physician Compare National (NPI:1760405096)

HEALTHCARE PROVIDER: DAN A FARAH 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	1760405096
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466614110
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120426000029
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FARAH
	Individual professional last name
Provider First Name	DAN
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
	Individual professional's medical school
Graduation Year	1985
	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	SPORTS MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1330 VELP AVE
	Group Practice or individual's line 1 address
City	GREEN BAY
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	543034399
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9204979499
	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