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Contact Information

JAY J MEVERDEN
2600 STEWART AVE STE 154
WAUSAU, WI54401-1404
 Phone: 714-848-4088
 Fax: 715-842-2497
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JAY J MEVERDEN

NPI Number 1114126570
LBN Legal business name JAY J MEVERDEN
Authorized official GERMAINE MEVERDEN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2007
Last updated 08/13/2007 - About 19 years ago
Identifiers
WI License # 1673
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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