Provider Demographics
NPI:1649590027
Name:POMPEY, HAROLD J (DC)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:J
Last Name:POMPEY
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 1:8539 GATE PKWY W
Mailing Address - Street 2:UNIT 9431
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1019
Mailing Address - Country:US
Mailing Address - Phone:904-710-2969
Mailing Address - Fax:
Practice Address - Street 1:8539 GATE PKWY W
Practice Address - Street 2:UNIT 9431
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1019
Practice Address - Country:US
Practice Address - Phone:904-710-2969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4549111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH4549OtherSTATE LICENSE