Provider Demographics
NPI:1609209691
Name:SUCIU, CALEB PARKER (DC)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:PARKER
Last Name:SUCIU
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 1:12812 COLDWATER RD
Mailing Address - Street 2:STE 101
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845
Mailing Address - Country:US
Mailing Address - Phone:260-445-8389
Mailing Address - Fax:888-607-1633
Practice Address - Street 1:12812 COLDWATER RD
Practice Address - Street 2:STE 101
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845
Practice Address - Country:US
Practice Address - Phone:260-445-8389
Practice Address - Fax:888-607-1633
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002725A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor