Provider Demographics
NPI:1477840163
Name:COMPAS CHIROPRACTIC CARE P.C.
Entity Type:Organization
Organization Name:COMPAS CHIROPRACTIC CARE P.C.
Other - Org Name:COMPAS CHIROPRACTIC REHAB STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-598-6818
Mailing Address - Street 1:1725 I ST NW # 306
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-2403
Mailing Address - Country:US
Mailing Address - Phone:202-349-3890
Mailing Address - Fax:202-349-3915
Practice Address - Street 1:1725 I ST NW # 306
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-2403
Practice Address - Country:US
Practice Address - Phone:202-349-3980
Practice Address - Fax:202-349-3915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556869111NR0400X
111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty