Provider Demographics
NPI:1760163182
Name:CHANEY, CALEB ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:ROBERT
Last Name:CHANEY
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 1:2436 EASTLAND RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-4608
Mailing Address - Country:US
Mailing Address - Phone:641-812-0420
Mailing Address - Fax:
Practice Address - Street 1:60 MEADOW VIEW AVE UNIT 100
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-6824
Practice Address - Country:US
Practice Address - Phone:540-483-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557923111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor