Melton, Edward Gerard

Melton, Edward Gerard is an sole proprietor health care provider with primary practice located at 141 S Garnett Rd , Tulsa OK 74128-1803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Melton, Edward Gerard can be contacted via phone (918) 361-1501.

Contact Information

Primary practice address
141 S Garnett Rd Tulsa OK 74128-1803
Phone: (918) 361-1501
Fax: (918) 764-9275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24098 Oklahoma
Allopathic & Osteopathic Physicians / General Practice 208D00000X 24098 Oklahoma

Profile Details

NPI number 1134299407
LBN Legal business name Melton, Edward Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134299407 NPPES
Oklahoma MEDICAID 200090910A

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