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Physician Compare National (NPI:1811026503)

HEALTHCARE PROVIDER: CHRIS ALLEN HENGESTEG 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 1811026503
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1759422694
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180313000432
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HENGESTEG
Individual professional last name
Provider First Name CHRIS
Individual professional first name
Provider Middle Name ALLEN
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 - DAVENPORT
Individual professional's medical school
Graduation Year 2004
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 12439 POWAY RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE A
Group Practice or individual's line 2 address
City POWAY
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 920644317
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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