Provider Demographics
NPI:1558035022
Name:TOMPKINS CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:TOMPKINS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-241-2976
Mailing Address - Street 1:1900 NE 3RD ST STE 106-16
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-3894
Mailing Address - Country:US
Mailing Address - Phone:541-241-2976
Mailing Address - Fax:541-323-8786
Practice Address - Street 1:1230 NE 3RD ST STE A152
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4376
Practice Address - Country:US
Practice Address - Phone:541-241-2976
Practice Address - Fax:541-323-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty