Individual
NELSON E MEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
133 CORPORATE DR STE 5, BANGOR, ME 04401-4312
(207) 942-7650
(207) 990-5583
Mailing address
133 CORPORATE DR STE 5, BANGOR, ME 04401-4312
(207) 942-7650
(207) 990-5583
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 698
ME
363AM0700X
Medical Physician Assistant
Primary
PA252A
ME
363AS0400X
Surgical Physician Assistant
PA-698
ME
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299620099
—
ME
Enumeration date
06/21/2005
Last updated
07/07/2011
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