Provider Demographics
NPI:1891399515
Name:MEINEKE, SKYLER (DC)
Entity Type:Individual
Prefix:DR
First Name:SKYLER
Middle Name:
Last Name:MEINEKE
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 1:92-1268 MAKAKILO DR APT 100
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1593
Mailing Address - Country:US
Mailing Address - Phone:913-302-3084
Mailing Address - Fax:
Practice Address - Street 1:91-902 FORT WEAVER RD STE 105
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-2261
Practice Address - Country:US
Practice Address - Phone:808-517-4826
Practice Address - Fax:808-637-2643
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor