Coltrain, Richard Shane
Coltrain, Richard Shane is an individual health care provider with primary practice located at 1025 Wh Smith Blvd Suite 108, Greenville NC 27834-5052. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Coltrain, Richard Shane can be contacted via phone (252) 215-2215.Contact Information
Primary practice address
1025 Wh Smith Blvd Suite 108
Greenville NC 27834-5052
Phone: (252) 215-2215
Fax: (252) 215-2216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CPO 2469 | Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | CPO 2469 | Virginia |
Profile Details
| NPI number | 1417994500 |
|---|---|
| LBN Legal business name | Coltrain, Richard Shane |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Apr 3rd, 2013 - about 13 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 | 1417994500 | NPPES |
| North Carolina | Other | ABC CPO 2469 | INDIVIDUAL ABC CERTIFICATION# |
| North Carolina | MEDICAID | 7795272 | INDIVIDUAL ABC CERTIFICATION# |
| North Carolina | Other | 0464J | INDIVIDUAL ABC CERTIFICATION# |
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