Melton, Michael S

Melton, Michael S is an individual health care provider with primary practice located at 61250 Se Coombs Pl , Bend OR 97702-3704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Melton, Michael S can be contacted via phone (541) 706-5930.

Contact Information

Primary practice address
61250 Se Coombs Pl Bend OR 97702-3704
Phone: (541) 706-5930
Fax: (541) 706-5931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME90790 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD201470 Oregon

Profile Details

NPI number 1609850775
LBN Legal business name Melton, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 30th, 2022 - about last year

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 1609850775 NPPES
Florida Other 7159625 AETNA
Florida Other 9227094002 AETNA
Florida Other 48499 AETNA
Florida Other P00185798 AETNA
Florida Other 244227 AETNA
Florida MEDICAID 270432300 AETNA
Florida Other 3570709 AETNA

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