Provider Demographics
NPI:1841861861
Name:POMPEO CHIROPRACTIC
Entity type:Organization
Organization Name:POMPEO CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:POMPEO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-503-8580
Mailing Address - Street 1:362 BOARDMAN POLAND RD
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4934
Mailing Address - Country:US
Mailing Address - Phone:330-629-2121
Mailing Address - Fax:330-629-2323
Practice Address - Street 1:362 BOARDMAN POLAND RD
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4934
Practice Address - Country:US
Practice Address - Phone:330-629-2121
Practice Address - Fax:330-629-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty