National Provider Identifier Database

RICHARD S COLTRAIN, CPO – NPI #1417994500
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

RICHARD S COLTRAIN, CPO
1025 WH SMITH BLVD
SUITE 108
GREENVILLE, NC27834-5052
Phone: 252-215-2215
Fax: 252-215-2216
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for RICHARD S COLTRAIN

NPI Number 1417994500
Credentials CPO
Entity Individual
Enumeration date 05/31/2006
Last updated 04/03/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • VA License #: CPO 2469
  • NC Medicaid: 7795272
  • NC Other: ABC CPO 2469 INDIVIDUAL ABC CERTIFICATION#
  • NC Other: 0464J NC BCBS PROVIDER#
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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