Physician Compare National (NPI:1972143568)

HEALTHCARE PROVIDER: DANIELLE KRONK 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	1972143568
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810323292
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200203001362
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRONK
	Individual professional last name
Provider First Name	DANIELLE
	Individual professional first name
Provider Middle Name	MARIE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE - WEST
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MISSAKIAN, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4082887914
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	83 N MAIN ST
	Group Practice or individual's line 1 address
City	PORTERVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	932573711
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5597813033
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050261
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SIERRA VIEW MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y