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Contact Information

MEREDITH WALL, PA-C
7 CAMPUS DRIVE
INTERMED ONSITE AT LLBEAN
FREEPORT, ME04032
 Phone: 207-552-7453
 Fax: 207-552-7129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MEREDITH WALL · (Female)

NPI # 1043435928
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/16/2007
Last updated 07/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 2309
  • ME License # PA1521
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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