Provider Demographics
NPI:1437254208
Name:MONTELEONE, CHERYL (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:MONTELEONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 E WT HARRIS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-3929
Mailing Address - Country:US
Mailing Address - Phone:704-598-4296
Mailing Address - Fax:704-599-3916
Practice Address - Street 1:2720 E WT HARRIS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-3929
Practice Address - Country:US
Practice Address - Phone:704-598-4296
Practice Address - Fax:704-599-3916
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC27274OtherPARTNERS
NC0827XOtherBC/BS
NC42756OtherAMERICAN WHOLE HEALTH NET
NC2185569OtherAETNA
NC890827XMedicaid
NC0827XOtherBC/BS
NC27274OtherPARTNERS