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Individual

DR. JASON RICHARD MENGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
516 BALTIMORE PIKE, BEL AIR, MD 21014
(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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
225617
KAISER PROVIDER#
MD
01
60485304
BCBS RENDERING ID#
MD
01
605923200
ACS PROVIDER #
MD
01
639A-HE
BCBS GROUP #
MD
01
640123
ACN PROVIDER #
MD
01
J5830001
BLUE CHOICE/FEP #
MD
Enumeration date
11/01/2005
Last updated
05/19/2009
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