Melton, David Wayne
Melton, David Wayne is an sole proprietor health care provider with primary practice located at 5410 E Ocotillo Hill Rd , Tucson AZ 85706. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Agencies / Foster Care Agency. Agencies / Foster Care Agency is his primary health care specialty. Melton, David Wayne can be contacted via phone (520) 248-6615.Contact Information
Primary practice address
5410 E Ocotillo Hill Rd
Tucson AZ 85706
Phone: (520) 248-6615
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 11551 | Arizona |
| Agencies / Foster Care Agency | 253J00000X |
Profile Details
| NPI number | 1780748954 |
|---|---|
| LBN Legal business name | Melton, David Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Aug 27th, 2021 - about 3 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 | 1780748954 | NPPES |
| Arizona | MEDICAID | 138612 |
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