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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134299407 | NPPES |
| Oklahoma | MEDICAID | 200090910A |
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