# DR. JON DAVID OGDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689740250
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1568 | NM | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 10/08/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4712584 | CIGNA LOVELACE | NM |
| 01 | — | 77460 | PRESBYTERIAN | NM |
| 01 | — | NM00KK65 | BLUE CROSS BLUE SHIELD | NM |