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NPI Code Detail

MEDICARE: ERICH E. MENGE, DC,PA

MEDICARE: ERICH E. MENGE, DC,PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH9560FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17209250OTHERAETNA
288701OTHERBLUE CROSS BLUE SHIELD
32138246OTHERUNITED
41414695OTHERCIGNA

General Provider Information

NPI Number : 1629314687
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERICH E. MENGE, DC,PA
Provider Business Mailing Address
First Line : 4801 LINTON BLVD STE 9A
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-6501
Country : US
Telephone Number : 561-495-4357
Fax Number :
Provider Business Practice Location Address
First Line : 4801 LINTON BLVD STE 9A
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-6501
Country : US
Telephone Number : 561-495-4357
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ERICH E MENGE
Credential : D.C.
Telephone Number : 561-495-4357
Provider Enumeration Date : 12/19/2012
Last Update Date : 12/19/2012

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Directions to “ERICH E. MENGE, DC,PA ” Practice Location

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