Melton, Charles L
Melton, Charles L is an individual health care provider with primary practice located at 2604 Saint Michael Dr Ste 345, Texarkana TX 75503-2379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Melton, Charles L can be contacted via phone (903) 838-5500.Contact Information
Primary practice address
2604 Saint Michael Dr Ste 345
Texarkana TX 75503-2379
Phone: (903) 838-5500
Fax: (903) 838-7402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | F6942 | Texas |
Profile Details
| NPI number | 1962444166 |
|---|---|
| LBN Legal business name | Melton, Charles L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 28th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962444166 | NPPES |
| Arkansas | MEDICAID | 128230001 | |
| Arkansas | Other | 3250610 | |
| Arkansas | MEDICAID | 100150730A | |
| Arkansas | Other | 8G3790 | |
| Arkansas | Other | 19559000040 | |
| Arkansas | Other | 97146 | |
| Arkansas | Other | O60068553 | |
| Arkansas | Other | 0004314459 | |
| Arkansas | MEDICAID | 047791102 |
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