Provider Demographics
NPI:1053581223
Name:SWECKER, RICK FREDERICK JONATHON (DC)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:FREDERICK JONATHON
Last Name:SWECKER
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 1:2115 GREEN VISTA DR STE 102
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-8516
Mailing Address - Country:US
Mailing Address - Phone:775-337-0184
Mailing Address - Fax:775-337-2395
Practice Address - Street 1:2115 GREEN VISTA DR STE 102
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8516
Practice Address - Country:US
Practice Address - Phone:775-337-0184
Practice Address - Fax:775-337-2395
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor