Provider Demographics
NPI:1902030232
Name:METZLER, JASON JAMES (RPSGT)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:JAMES
Last Name:METZLER
Suffix:
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7842 KINGSBURY DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-2529
Mailing Address - Country:US
Mailing Address - Phone:630-461-3733
Mailing Address - Fax:224-856-5830
Practice Address - Street 1:7842 KINGSBURY DR
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-2529
Practice Address - Country:US
Practice Address - Phone:630-461-3733
Practice Address - Fax:224-856-5830
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other