National Provider Identifier Database

MERIDETH C NORRIS PA
Addiction Medicine


Contact Information

MERIDETH C NORRIS PA
58 PORTLAND RD
SUITE 18
KENNEBUNK, ME04043-6656
Phone: 207-604-5034
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 207QA0401X
Family Medicine 207Q00000X
Pain Medicine 208VP0000X

* Indicates primary specialty

NPI Profile & details for MERIDETH C NORRIS PA

NPI Number 1376973651
Legal business name
LBN
MERIDETH C NORRIS PA
Authorized official MERIDETH NORRIS - (OWNER/PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 11/22/2013
Last updated 03/16/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: 1813
  • ME License #: ME1813
  • ME Medicaid: 280670099
  • ME Other: E100136968 ETAN

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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