Mudrick, Colin Alexander

Mudrick, Colin Alexander is an individual health care provider with primary practice located at 1501 Maple Ave Suite 200, Nw Mob, Richmond VA 23226-2553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mudrick, Colin Alexander can be contacted via phone (804) 285-2300.

Contact Information

Primary practice address
1501 Maple Ave Suite 200, Nw Mob Richmond VA 23226-2553
Phone: (804) 285-2300
Fax: (804) 285-8420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2014-00777 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101258423 Virginia

Profile Details

NPI number 1568699841
LBN Legal business name Mudrick, Colin Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2009
Last updated Aug 14th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568699841 NPPES
Virginia MEDICAID 1568699841

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