Healthcare Provider Details

I. General information

NPI: 1457255663
Provider Name (Legal Business Name): OWEN EDWARD MELTON CHT,CHBT,CHWS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 SHERMAN AVE
NORWOOD OH
45212-2633
US

IV. Provider business mailing address

549 PRYTANIA AVE
HAMILTON OH
45013-2910
US

V. Phone/Fax

Practice location:
  • Phone: 513-841-1800
  • Fax:
Mailing address:
  • Phone: 513-571-5286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License NumberDT.005885
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: