Provider Demographics
NPI:1689724288
Name:WIENER, CINDY E (DC)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:E
Last Name:WIENER
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 1:4401 COLWICK RD
Mailing Address - Street 2:#109
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2349
Mailing Address - Country:US
Mailing Address - Phone:704-442-0032
Mailing Address - Fax:
Practice Address - Street 1:4401 COLWICK RD
Practice Address - Street 2:#109
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2349
Practice Address - Country:US
Practice Address - Phone:704-442-0032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1759111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology