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
Fax: (405) 701-9881
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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 1093702011 NPPES
Oklahoma Other 770001792 RAILROAD MEDICARE
Oklahoma MEDICAID 100130690A RAILROAD MEDICARE

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