Provider Demographics
NPI:1841895067
Name:COMPASS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:COMPASS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCDADE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-499-6020
Mailing Address - Street 1:13146 MIDLOTHIAN TPKE
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-4200
Mailing Address - Country:US
Mailing Address - Phone:804-499-6020
Mailing Address - Fax:804-499-6030
Practice Address - Street 1:13146 MIDLOTHIAN TPKE
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-4200
Practice Address - Country:US
Practice Address - Phone:804-499-6020
Practice Address - Fax:804-499-6030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty