Melton, Jim G
Melton, Jim G is an individual health care provider with primary practice located at 3200 Quail Springs Pkwy Ste 200, Oklahoma City OK 73134-2612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Melton, Jim G can be contacted via phone (405) 701-9880.Contact Information
Primary practice address
3200 Quail Springs Pkwy Ste 200
Oklahoma City OK 73134-2612
Phone: (405) 701-9880
Fax: (405) 701-9881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 3168 | Oklahoma |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 3168 | Oklahoma |
Profile Details
| NPI number | 1093702011 |
|---|---|
| LBN Legal business name | Melton, Jim G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Nov 18th, 2015 - about 10 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 | 1093702011 | NPPES |
| Oklahoma | Other | 770001792 | RAILROAD MEDICARE |
| Oklahoma | MEDICAID | 100130690A | RAILROAD MEDICARE |
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