Provider Demographics
NPI:1598936809
Name:POMPA HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:POMPA HEALTH SOLUTIONS LLC
Other - Org Name:POMPA HEALTH SOLUTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POMPA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-940-7733
Mailing Address - Street 1:145 LAKE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8476
Mailing Address - Country:US
Mailing Address - Phone:724-940-7733
Mailing Address - Fax:724-940-7749
Practice Address - Street 1:145 LAKE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8476
Practice Address - Country:US
Practice Address - Phone:724-940-7733
Practice Address - Fax:724-940-7749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006390L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA834618OtherBCBS
PA834618OtherBCBS