Physician Compare National (NPI:1902083306)

HEALTHCARE PROVIDER: DUSTIN L. HEWITT 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	1902083306
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981783339
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120628000448
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEWITT
	Individual professional last name
Provider First Name	DUSTIN
	Individual professional first name
Provider Middle Name	L
	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	2006
	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	25 LINDSLEY DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 312
	Group Practice or individual's line 2 address
City	MORRISTOWN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	079604455
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9739441640
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y