Provider Demographics
NPI:1588619266
Name:BOMPIANI, LARRY ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:ANTHONY
Last Name:BOMPIANI
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 1:861 MARTIN LUTHER KING JR WAY STE C
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3278
Mailing Address - Country:US
Mailing Address - Phone:540-434-5544
Mailing Address - Fax:540-434-1497
Practice Address - Street 1:861 MARTIN LUTHER KING JR WAY STE C
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3278
Practice Address - Country:US
Practice Address - Phone:540-434-5544
Practice Address - Fax:540-434-1497
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T21312Medicare UPIN
350953835Medicare ID - Type Unspecified