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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
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#

Popular Providers