Provider Demographics
NPI:1174837587
Name:MELCHER, WAYNE (RESPIRATORY THERAPY)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:MELCHER
Suffix:
Gender:M
Credentials:RESPIRATORY THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 PINEVILLE MATTHEWS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8187
Mailing Address - Country:US
Mailing Address - Phone:704-542-4800
Mailing Address - Fax:704-542-4808
Practice Address - Street 1:7108 PINEVILLE MATTHEWS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8187
Practice Address - Country:US
Practice Address - Phone:704-542-4800
Practice Address - Fax:704-542-4808
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA-208227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered