Melvin, Charles H

Melvin, Charles H is an individual health care provider with primary practice located at 635 Main St Attn: Credentialing Dpt, Middletown CT 06457-2718. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Melvin, Charles H can be contacted via phone (860) 347-6971.

Contact Information

Primary practice address
635 Main St Attn: Credentialing Dpt Middletown CT 06457-2718
Phone: (860) 347-6971
Fax: (860) 704-8034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F-400885 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 004673 Connecticut

Profile Details

NPI number 1356406847
LBN Legal business name Melvin, Charles H
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jun 15th, 2011 - about 13 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 1356406847 NPPES
New York MEDICAID 02837850
New York MEDICAID 004236338

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