Detwiler, Meredith Brassard

Detwiler, Meredith Brassard is an individual health care provider with primary practice located at 105 Webster St Ste 8 , Hanover MA 02339-1227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Detwiler, Meredith Brassard can be contacted via phone (781) 754-6545.

Contact Information

Primary practice address
105 Webster St Ste 8 Hanover MA 02339-1227
Phone: (781) 754-6545
Fax: (781) 536-0016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 268698 Massachusetts

Profile Details

NPI number 1881834174
LBN Legal business name Detwiler, Meredith Brassard
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2009
Last updated Sep 8th, 2016 - about 9 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 1881834174 NPPES
Massachusetts MEDICAID 110091419A

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