Physician Compare National (NPI:1861798035)

HEALTHCARE PROVIDER: DAVE CHARLES HEINRICH 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	1861798035
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547438210
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130425000633
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEINRICH
	Individual professional last name
Provider First Name	DAVE
	Individual professional first name
Provider Middle Name	CHARLES
	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	2010
	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	800 MAPLEHILL DR
	Group Practice or individual's line 1 address
City	TULLAHOMA
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373883261
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y