Individual
MRS. JAIME CHANDLER MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
385 WEST MAIN STREET, AVON, CT 06001
(860) 777-1280
Mailing address
ONE MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 283-8800
(207) 284-6291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003208
VA
363A00000X
Physician Assistant
PA1332
ME
363A00000X
Physician Assistant
Primary
PA301
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004675
CT LIC
CT
05
—
1790861896
—
ME
Enumeration date
10/31/2006
Last updated
07/14/2020
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