Beauregard, Meredith

Beauregard, Meredith is an individual health care provider with primary practice located at 22 Bramhall St Pavilion 1203, Portland ME 04102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beauregard, Meredith can be contacted via phone (207) 662-4618.

Contact Information

Primary practice address
22 Bramhall St Pavilion 1203 Portland ME 04102
Phone: (207) 662-4618
Fax: (207) 662-6254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA883 Maine

Profile Details

NPI number 1013967918
LBN Legal business name Beauregard, Meredith
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013967918 NPPES
Maine MEDICAID 432498699

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