Provider Demographics
NPI:1790893063
Name:MEANS, RICK ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:ALLAN
Last Name:MEANS
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 1:11982 ROYAL TEE CIR
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-7547
Mailing Address - Country:US
Mailing Address - Phone:239-283-8863
Mailing Address - Fax:
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:239-997-5007
Practice Address - Fax:239-997-2285
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004621111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU48791Medicare UPIN
FL70941AMedicare ID - Type Unspecified