Physician Compare National (NPI:1841314614)

HEALTHCARE PROVIDER: CARL JOHN TRUPP III 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	1841314614
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719174481
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101207000557
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TRUPP
	Individual professional last name
Provider First Name	CARL
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	2000
	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	33523 8 MILE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	E9
	Group Practice or individual's line 2 address
City	LIVONIA
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481524119
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y