Individual
JASON MICHAEL MECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1674
(812) 450-7338
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7338
(812) 450-2193
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01076319A
IN
2084V0102X
Vascular Neurology Physician
01076319A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000693358
ANTHEM - NNS
KY
01
—
000057058F
HUMANA - NNS
KY
01
—
0474086
CIGNA - NNS
KY
01
—
119122
SIHO - NNS
KY
01
—
50030793
PASSPORT/PASSPORT ADVANTAGE - NNS
KY
05
—
64107592
—
KY
Enumeration date
01/18/2006
Last updated
02/25/2016
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