Melvin, Charles Wayne
Melvin, Charles Wayne is an individual health care provider with primary practice located at 234 Keller Park Blvd , Tuscumbia AL 35674-1417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Melvin, Charles Wayne can be contacted via phone (256) 381-6963.Contact Information
Primary practice address
234 Keller Park Blvd
Tuscumbia AL 35674-1417
Phone: (256) 381-6963
Fax: (256) 381-6018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 10101 | Alabama |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10101 | Alabama |
Profile Details
| NPI number | 1912992025 |
|---|---|
| LBN Legal business name | Melvin, Charles Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Mar 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912992025 | NPPES |
| Alabama | Other | 51522529 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 009961925 | BLUE CROSS BLUE SHIELD |
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