Provider Demographics
NPI:1134422520
Name:WHITE, RODNEY CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:CHARLES
Last Name:WHITE
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 1:10701 S 72ND ST
Mailing Address - Street 2:STE 120
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3427
Mailing Address - Country:US
Mailing Address - Phone:402-593-9930
Mailing Address - Fax:402-593-0310
Practice Address - Street 1:1225 PAPILLION DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-5708
Practice Address - Country:US
Practice Address - Phone:615-419-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor