Provider Demographics
NPI:1639274665
Name:MEEKER, RODNEY MARC (DC)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:MARC
Last Name:MEEKER
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 1:111 EAST STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372
Mailing Address - Country:US
Mailing Address - Phone:253-845-0543
Mailing Address - Fax:253-848-6788
Practice Address - Street 1:111 EAST STEWART AVE
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372
Practice Address - Country:US
Practice Address - Phone:253-845-0543
Practice Address - Fax:253-848-6788
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1198111N00000X
WACH60020406111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7740MEOtherREGENCE BLUESHIELD