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Individual
DR. JASON RICHARD MENGES
Active
Individual
DR. JASON RICHARD MENGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01933
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225617
KAISER PROVIDER#
MD
01
—
60485304
BCBS RENDERING ID#
MD
01
—
605923200
ACS PROVIDER #
MD
01
—
639A-HE
BCBS GROUP #
MD
01
—
640123
ACN PROVIDER #
MD
01
—
J5830001
BLUE CHOICE/FEP #
MD
Enumeration date
11/01/2005
Last updated
05/19/2009
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