Provider Demographics
NPI:1891482162
Name:ENERGY MATTERS CHIROPRACTIC CARE PLLC
Entity Type:Organization
Organization Name:ENERGY MATTERS CHIROPRACTIC CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:CAUDILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-357-7150
Mailing Address - Street 1:13605 GENITO RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4001
Mailing Address - Country:US
Mailing Address - Phone:804-464-5478
Mailing Address - Fax:
Practice Address - Street 1:13605 GENITO RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4001
Practice Address - Country:US
Practice Address - Phone:804-464-5478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center