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Individual
DR. JASON JOHN JERISHA
Active
Individual
DR. JASON JOHN JERISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-003416
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377305
ANTHEM BCBS
OH
01
—
000000543939
ANTHEM BCBS
OH
05
—
2589819
—
OH
Enumeration date
05/11/2006
Last updated
05/09/2008
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