Provider Demographics
NPI:1659472710
Name:DUNNE, CINDY ANN (DC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ANN
Last Name:DUNNE
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 1:215 E WATAUGA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-4629
Mailing Address - Country:US
Mailing Address - Phone:423-388-3643
Mailing Address - Fax:
Practice Address - Street 1:215 E WATAUGA AVE STE 100
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-4629
Practice Address - Country:US
Practice Address - Phone:423-388-3643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007442111N00000X
OH2100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000183767OtherANTHEM
MI950E810920OtherBCBSM
OH2211038Medicaid
OH341943536-001OtherMEDICAL MUTUAL
OH341943536-001OtherMEDICAL MUTUAL
OH2211038Medicaid
OHDU4043332Medicare ID - Type Unspecified
MI950E810920OtherBCBSM