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Contact Information

ALAN M MEREDITH, PAC
1551 N IL RT 3
WATERLOO, IL62298
 Phone: 618-504-5008
 Fax: 618-504-5009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALAN M MEREDITH · (Male)

NPI # 1053656298
Status Active
Credentials PAC
Entity Individual
Enumeration date 11/28/2012
Last updated 04/30/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.004538
  • MO License # 2024018875
Hospital affiliation(s)
  • ANDERSON HOSPITAL - (Acute Care)
    6800 STATE ROUTE 162
    MARYVILLE, IL 62062
  • COMMUNITY MEMORIAL HOSPITAL - (Critical Access)
    400 CALDWELL
    STAUNTON, IL 62088
  • GATEWAY REGIONAL MEDICAL CENTER - (Acute Care)
    2100 MADISON AVENUE
    GRANITE CITY, IL 62040
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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