Physician Compare National (NPI:1881128916)

HEALTHCARE PROVIDER: PHILIP HEISTERKAMP 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	1881128916
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830455054
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171127001972
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEISTERKAMP
	Individual professional last name
Provider First Name	PHILIP
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2016
	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	101 N CHESTNUT ST
	Group Practice or individual's line 1 address
City	JEFFERSON
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	501292101
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y