MEDICARE: SIERRA R ZINKE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5549	NC

General Provider Information

NPI Number	:	1558086298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIERRA R ZINKE DC

Provider Business Mailing Address
First Line	:	6416 CARMEL RD STE 400B
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-8268
Country	:	US
Telephone Number	:	980-819-1749
Fax Number	:

Provider Business Practice Location Address
First Line	:	6416 CARMEL RD STE 400B
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-8268
Country	:	US
Telephone Number	:	980-819-1749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2022
Last Update Date	:	03/26/2026

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Directions to “ SIERRA R ZINKE DC” Practice Location

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