Physician Compare National (NPI:1902981236)

HEALTHCARE PROVIDER: MARTIN J SKOPP 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	1902981236
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315073848
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100410000082
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SKOPP
	Individual professional last name
Provider First Name	MARTIN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOS ANGELES COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1991
	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	1701 BELLE VIEW BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A1
	Group Practice or individual's line 2 address
City	ALEXANDRIA
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	223076723
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M