Melton, Charles M
Melton, Charles M is an individual health care provider with primary practice located at 2130 Ne Loop 410 Ste 301 , San Antonio TX 78217-4662. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Melton, Charles M can be contacted via phone (210) 829-1880.Contact Information
Primary practice address
2130 Ne Loop 410 Ste 301
San Antonio TX 78217-4662
Phone: (210) 829-1880
Fax: (210) 822-6551
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1144 | Texas |
Profile Details
NPI number | 1962493148 |
---|---|
LBN Legal business name | Melton, Charles M |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 4th, 2005 |
Last updated | Feb 13th, 2024 - about 10 months 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 | 1962493148 | NPPES |
Texas | MEDICAID | 037162702 | |
Texas | Other | 8A4602 |
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