Provider Demographics
NPI:1467627547
Name:BOMPIANI CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:BOMPIANI CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BOMPIANI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-434-5544
Mailing Address - Street 1:861 C CANTRELL AVENUE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801
Mailing Address - Country:US
Mailing Address - Phone:540-434-5544
Mailing Address - Fax:540-434-1497
Practice Address - Street 1:861 C CANTRELL AVENUE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-434-5544
Practice Address - Fax:540-434-1497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
350953835Medicare PIN
350953835Medicare UPIN