Provider Demographics
NPI:1043801939
Name:ZENTMEYER, CAPERS PENN (DC)
Entity Type:Individual
Prefix:DR
First Name:CAPERS
Middle Name:PENN
Last Name:ZENTMEYER
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 1:235 LEATHERWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-0368
Mailing Address - Country:US
Mailing Address - Phone:276-224-9445
Mailing Address - Fax:
Practice Address - Street 1:3652 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24078-1724
Practice Address - Country:US
Practice Address - Phone:276-647-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor