Provider Demographics
NPI:1639570724
Name:CLAUDIO CHIROPRACTIC AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:CLAUDIO CHIROPRACTIC AND WELLNESS, PLLC
Other - Org Name:TRIANGLE SPINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINNAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAUDIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-957-3600
Mailing Address - Street 1:7841 ALEXANDER PROMENADE PL
Mailing Address - Street 2:SUITE 120
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-1913
Mailing Address - Country:US
Mailing Address - Phone:919-957-3600
Mailing Address - Fax:
Practice Address - Street 1:7841 ALEXANDER PROMENADE PL
Practice Address - Street 2:SUITE 120
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-1913
Practice Address - Country:US
Practice Address - Phone:919-957-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty