Physician Compare National (NPI:1912149766)

HEALTHCARE PROVIDER: CHRIS JOHN PETERSON 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	1912149766
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123172103
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110310000133
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PETERSON
	Individual professional last name
Provider First Name	CHRIS
	Individual professional first name
Provider Gender	M
	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	2008
	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	801 HUGHES DR
	Group Practice or individual's line 1 address
Line 2 Street Address	CORRECTIVE CARE CHIROPRACTIC
	Group Practice or individual's line 2 address
City	HAMILTON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	086901207
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6095841313
	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