Individual
MR. RICHARD SHANE COLTRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1025 WH SMITH BLVD, SUITE 108, GREENVILLE, NC 27834-5052
(252) 215-2215
(252) 215-2216
Mailing address
1025 WH SMITH BLVD, SUITE 108, GREENVILLE, NC 27834-5052
(252) 215-2215
(252) 215-2216
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO 2469
VA
224P00000X
Prosthetist
Primary
CPO 2469
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0464J
NC BCBS PROVIDER#
NC
05
—
7795272
—
NC
01
—
ABC CPO 2469
INDIVIDUAL ABC CERTIFICATION#
NC
Enumeration date
05/31/2006
Last updated
04/03/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us