Provider Demographics
NPI:1447843768
Name:MEIKLE, WINSTON M SR
Entity type:Individual
Prefix:
First Name:WINSTON
Middle Name:M
Last Name:MEIKLE
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 LARCH AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2345
Mailing Address - Country:US
Mailing Address - Phone:866-242-3826
Mailing Address - Fax:
Practice Address - Street 1:225 LARCH AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2345
Practice Address - Country:US
Practice Address - Phone:866-242-3826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other