Individual
MR. CALEB JOEL MEIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
604 RENNAKER ST, LA FONTAINE, IN 46940-9045
(800) 283-2081
Mailing address
586 W 2ND ST, PERU, IN 46970-1869
(765) 327-1156
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
06004035A
IN
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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