Richard Shane Coltrain in Greenville - Orthotist
Richard Shane Coltrain - NPI 1417994500
Richard Shane Coltrain is a Orthotist in Greenville, North Carolina. Richard Shane Coltrain practices all healthcare services and medical treatments related to Orthotist. The NPI Number for Richard Shane Coltrain is 1417994500. The last update date is 2013-04-03.
Richard Shane Coltrain's current location address is 1025 Wh Smith Blvd, Greenville, North Carolina. You can contact this provider via phone number 2522152215 and fax number 2522152216. The mailing address for Richard Shane Coltrain is 1025 Wh Smith Blvd, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Shane Coltrain |
|---|---|
| Address | 1025 Wh Smith Blvd, Greenville, North Carolina |
| Phone Number | 2522152215 |
| Fax Number | 2522152216 |
| Sole Proprietor | N |
| Credentials | CPO |
NPI Number Detail
| NPI Number | 1417994500 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2013-04-03 |
Provider Mailing Address Detail
| Address | 1025 Wh Smith Blvd |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 278345052 |
| Phone Number | 2522152215 |
| Fax Number | 2522152216 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotist |
|---|---|
| Taxonomy | 222Z00000X |
| Licence No | CPO 2469 |
|
Definition: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ABC CPO 2469 | NC | INDIVIDUAL ABC CERTIFICATION# | |
| 7795272 | NC | -- | |
| 0464J | NC | NC BCBS PROVIDER# |
Post Comment/ Review Below
What is the Richard Shane Coltrain's 1417994500?
The Richard Shane Coltrain's NPI (National Provider Identifier) Number is 1417994500. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Richard Shane Coltrain is located?
The Richard Shane Coltrain is situated at the following address: 1025 Wh Smith Blvd, Greenville, NC, 278345052.
What is the Richard Shane Coltrain's specialty and taxonomy code?
The Richard Shane Coltrain's specialty is Orthotist, and the corresponding taxonomy code is 222Z00000X.
On what date did the Richard Shane Coltrain receive its 1417994500 assignment from the Centers for Medicare & Medicaid Services?
The Richard Shane Coltrain was assigned its 1417994500 by the Centers for Medicare & Medicaid Services on 2006-05-31.
When was the information regarding Richard Shane Coltrain, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard Shane Coltrain, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-03.
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