Individual
DR. FREDERICK J MECCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2002 HENDON WAY, VALPARAISO, IN 46385-8218
(219) 531-4917
Mailing address
2002 HENDON WAY STE 1A, VALPARAISO, IN 46385-8218
(800) 503-1375
(866) 681-0887
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016004365
IL
213E00000X
Podiatrist
Primary
07000801
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227516
ANTHEM BCBS OF INDIANA
IN
01
—
0060001681
BCBS OF ILLINOIS
IL
05
—
200045360A
—
IN
Enumeration date
07/20/2005
Last updated
03/12/2024
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