Provider Demographics
NPI:1396336202
Name:ZENTMEYER CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ZENTMEYER CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAPERS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENTMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:276-647-5555
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty