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Physician Compare National (NPI:1851585921)

HEALTHCARE PROVIDER: CARISSA JOY HOOPS 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 1851585921
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4688769508
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20071005000724
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HOOPS
Individual professional last name
Provider First Name CARISSA
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Gender F
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 2007
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 829 W COURT ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 2
Group Practice or individual's line 2 address
City BEATRICE
Group Practice or individual's city
State NE
Group Practice or individual's state
Zip Code 683103578
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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