# DR. RUSTY L MYERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740276708
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2417 | OH | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 08/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000225959 | ANTHEM - INDIVIDUAL | OH |
| 01 | — | 000000225960 | ANTHEM - GROUP | OH |
| 05 | — | 2005789 | — | OH |
| 05 | — | 2383899 | — | OH |
| 01 | — | 300022209 | ID - GROUP | OH |
| 01 | — | 300022209-00 | BWC - GROUP | OH |
| 01 | — | 300022209001 | MEDICAL MUTUAL - GROUP | OH |
| 01 | — | 311520435 | ID - INDIVIDUAL | OH |
| 01 | — | 311520435-00 | BWC - INDIVIDUAL | OH |