Provider Demographics
NPI:1922281716
Name:CLAUDIO, CINNAMON A (DC)
Entity Type:Individual
Prefix:DR
First Name:CINNAMON
Middle Name:A
Last Name:CLAUDIO
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 1:7841 ALEXANDER PROMENADE PL STE 120
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-1914
Mailing Address - Country:US
Mailing Address - Phone:919-957-3600
Mailing Address - Fax:919-957-3800
Practice Address - Street 1:7841 ALEXANDER PROMENADE PL STE 120
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-1914
Practice Address - Country:US
Practice Address - Phone:919-957-3600
Practice Address - Fax:919-957-3800
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC203219461OtherUPIN
NC5908481Medicaid
NC5908481Medicaid