Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 03576 | MD |
N | 111N00000X | Chiropractor | 38MC00656800 | NJ |
N | 111NR0400X | Rehabilitation Chiropractor | 0104556869 | VA |
Y | 111NR0400X | Rehabilitation Chiropractor | CH030139 | DC |
N | 111NR0400X | Rehabilitation Chiropractor | X011361-1 | NY |
NPI | 1073647970 |
---|---|
Provider Name | Dr. Manuel J Compas |
First Address | Washington, DC 20006-2403 |
Second Address | Washington, DC 20006-2403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 06/01/2020 |