# JASON MARK HABECK

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

## Provider details

- **NPI number:** 1861753485
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 4301100883 | MI | — |
| 207X00000X | Orthopaedic Surgery Physician | ME130378 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301100883 | MI | — |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 06/01/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 020408900 | — | FL |
| 01 | — | JA244Z | MEDICARE | FL |
| 01 | — | WC162 | BCBS | FL |