Provider Demographics
NPI:1073647970
Name:COMPAS, MANUEL J (DC)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:J
Last Name:COMPAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CONNECTICUT AVE NW STE 401
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5529
Mailing Address - Country:US
Mailing Address - Phone:202-908-4910
Mailing Address - Fax:202-908-4909
Practice Address - Street 1:1001 CONNECTICUT AVE NW STE 401
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5529
Practice Address - Country:US
Practice Address - Phone:202-908-4910
Practice Address - Fax:202-908-4909
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03576111N00000X
NJ38MC00656800111N00000X
NYX011361-1111NR0400X
VA0104556869111NR0400X
DCCH030139111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor