Provider Demographics
NPI:1639265218
Name:MCGINLEY, RODNEY W (DC)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:W
Last Name:MCGINLEY
Suffix:
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 1:1218 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-2310
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1218 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-2310
Practice Address - Country:US
Practice Address - Phone:402-873-7399
Practice Address - Fax:402-873-9351
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE973111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47-072827700Medicaid
NE09726OtherBLUE CROSS
NE09726OtherBLUE CROSS
NE270465Medicare ID - Type Unspecified