Provider Demographics
NPI:1679616049
Name:STINEMETZ, RODNEY LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:LYNN
Last Name:STINEMETZ
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 1:226 EAST BURWELL AVENUE
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44842-9504
Mailing Address - Country:US
Mailing Address - Phone:419-994-5222
Mailing Address - Fax:419-994-4443
Practice Address - Street 1:226 EAST BURWELL AVENUE
Practice Address - Street 2:
Practice Address - City:LOUDONVILLE
Practice Address - State:OH
Practice Address - Zip Code:44842-9504
Practice Address - Country:US
Practice Address - Phone:419-994-5222
Practice Address - Fax:419-994-4443
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000128085OtherBLUE CROSS BLUE SHIELD
OH0248137Medicaid
OHST0406161Medicare ID - Type Unspecified