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Individual

DR. ERICH EMMANUEL MENGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4801 LINTON BLVD., STE 9A, JUPITER, FL 33458-5315
(561) 632-2092
(561) 496-6675
Mailing address
4801 LINTON BLVD., STE 9A, JUPITER, FL 33458-5315
(561) 632-2092
(561) 496-6675

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9560
FL
111N00000X
Chiropractor
X009561
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009561
PREFERRED CARE
NY
01
161610170
UNITED HEALTH CARE
FL
01
7209250
AETNA
NY
01
88701
BCBS
FL
01
CH 9560
WORKERS COMPENSATION
FL
01
CO9561-4B
WORKERS COMPENSATION
NY
01
P010009561
BLUE CROSS BLUE SHIELD
NY
Enumeration date
12/30/2006
Last updated
12/20/2012
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