Provider Demographics
NPI:1649585142
Name:MELTZ MEDICAL LLC
Entity Type:Organization
Organization Name:MELTZ MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:MELTZNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-642-0111
Mailing Address - Street 1:PO BOX 30612
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-0011
Mailing Address - Country:US
Mailing Address - Phone:405-642-0111
Mailing Address - Fax:
Practice Address - Street 1:2601 EDINBURGH DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-9019
Practice Address - Country:US
Practice Address - Phone:405-642-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies