Wellborn, Colvin Clay
Wellborn, Colvin Clay is an individual health care provider with primary practice located at 1715 N George Mason Dr #504, Arlington VA 22205-3609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wellborn, Colvin Clay can be contacted via phone (703) 525-2200.Contact Information
Primary practice address
1715 N George Mason Dr #504
Arlington VA 22205-3609
Phone: (703) 525-2200
Fax: (703) 522-2603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G84666 | California |
Profile Details
| NPI number | 1760478259 |
|---|---|
| LBN Legal business name | Wellborn, Colvin Clay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Aug 28th, 2007 - about 17 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 | 1760478259 | NPPES |
| California | MEDICAID | 00G846660 |
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