Provider Demographics
NPI:1073794699
Name:COMPASS ENTERPRISES, INC.
Entity Type:Organization
Organization Name:COMPASS ENTERPRISES, INC.
Other - Org Name:COMPASS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:KROHSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-309-1217
Mailing Address - Street 1:7405 UNIVERSITY AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-1343
Mailing Address - Country:US
Mailing Address - Phone:515-309-1217
Mailing Address - Fax:515-327-8635
Practice Address - Street 1:7405 UNIVERSITY AVE STE 1
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-1343
Practice Address - Country:US
Practice Address - Phone:515-309-1217
Practice Address - Fax:515-327-8635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty