Melton, David Wayne

Melton, David Wayne is an sole proprietor health care provider with primary practice located at 5410 E Ocotillo Hill Rd , Tucson AZ 85706. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Agencies / Foster Care Agency. Agencies / Foster Care Agency is his primary health care specialty. Melton, David Wayne can be contacted via phone (520) 248-6615.

Contact Information

Primary practice address
5410 E Ocotillo Hill Rd Tucson AZ 85706
Phone: (520) 248-6615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 11551 Arizona
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1780748954
LBN Legal business name Melton, David Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Aug 27th, 2021 - about 5 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 1780748954 NPPES
Arizona MEDICAID 138612

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