Provider Demographics
NPI:1407295041
Name:MEANS, RICK ALLAN II (DC)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:ALLAN
Last Name:MEANS
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PONDELLA RD
Mailing Address - Street 2:
Mailing Address - City:N FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-3846
Mailing Address - Country:US
Mailing Address - Phone:239-560-9766
Mailing Address - Fax:239-997-2285
Practice Address - Street 1:150 PONDELLA RD
Practice Address - Street 2:
Practice Address - City:N FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-3846
Practice Address - Country:US
Practice Address - Phone:239-560-9766
Practice Address - Fax:239-997-2285
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor