Provider Demographics
NPI:1659443414
Name:SWEET, RODNEY LEE (DC)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:LEE
Last Name:SWEET
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 1:131 LYNCH CREEK WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-2300
Mailing Address - Country:US
Mailing Address - Phone:707-762-4449
Mailing Address - Fax:707-762-4754
Practice Address - Street 1:131 LYNCH CREEK WAY
Practice Address - Street 2:SUITE B
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-2300
Practice Address - Country:US
Practice Address - Phone:707-762-4449
Practice Address - Fax:707-762-4754
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA14253111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA014253OtherLICENSE NUMBER