Melton, Mark Edward

Melton, Mark Edward is an individual health care provider with primary practice located at 1505 N Commerce St Suite #204, Ardmore OK 73401-1863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Melton, Mark Edward can be contacted via phone (580) 226-3003.

Contact Information

Primary practice address
1505 N Commerce St Suite #204 Ardmore OK 73401-1863
Phone: (580) 226-3003
Fax: (580) 798-3124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2962 Oklahoma

Profile Details

NPI number 1801854617
LBN Legal business name Melton, Mark Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Sep 16th, 2016 - 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 1801854617 NPPES
Oklahoma Other P00300469 RAILROAD MEDICARE PART B
Oklahoma MEDICAID 100130510B RAILROAD MEDICARE PART B

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