Provider Demographics
NPI:1093184962
Name:PERRY, CALEB RYAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:RYAN
Last Name:PERRY
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 1:651 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1041
Mailing Address - Country:US
Mailing Address - Phone:304-522-7323
Mailing Address - Fax:304-529-7684
Practice Address - Street 1:651 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1041
Practice Address - Country:US
Practice Address - Phone:304-522-7323
Practice Address - Fax:304-529-7684
Is Sole Proprietor?:No
Enumeration Date:2015-09-21
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV990111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor