Provider Demographics
NPI:1023057882
Name:WEINER, CAREN LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:CAREN
Middle Name:LYNN
Last Name:WEINER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CAREN
Other - Middle Name:LYNN
Other - Last Name:SHANFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:308 W CALLOWHILL ST
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-4802
Mailing Address - Country:US
Mailing Address - Phone:215-814-0490
Mailing Address - Fax:215-257-3646
Practice Address - Street 1:308 W CALLOWHILL ST
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-4802
Practice Address - Country:US
Practice Address - Phone:215-814-0490
Practice Address - Fax:215-257-3646
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007208L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor