Organization
HEALTHBRIDGE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON RICHARD MENGES D.C. (SOLE OWNER)
(410) 638-2424
Entity
Organization
Contact information
Practice address
137 E BROADWAY, BEL AIR, MD 21014-2903
(410) 638-2424
(410) 893-8923
Mailing address
1416 MARTIN MEADOWS DR, FALLSTON, MD 21047-2221
(410) 877-1597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01933
MD
111NR0400X
Rehabilitation Chiropractor
01933
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60485304
BLUE SHIELD RENDERING ID#
MD
01
—
639A-HE
BCBS PROVIDER GROUP #
MD
01
—
J5830001
BS FEP, BLUE CHOICE
MD
Enumeration date
12/19/2007
Last updated
01/18/2016
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