Provider Demographics
NPI:1124723119
Name:ENGLEMAN, COLTON C
Entity type:Individual
Prefix:DR
First Name:COLTON
Middle Name:C
Last Name:ENGLEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:COLTON
Other - Middle Name:C
Other - Last Name:ENGLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:4700 BUCKINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-4261
Mailing Address - Country:US
Mailing Address - Phone:804-796-3221
Mailing Address - Fax:804-796-1500
Practice Address - Street 1:4700 BUCKINGHAM CT
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-4261
Practice Address - Country:US
Practice Address - Phone:804-796-3221
Practice Address - Fax:804-796-1500
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor