Individual
JASON MICHAEL MECKLER
Active
Individual
JASON MICHAEL MECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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