Individual
DR. IAN FRANCIS WOOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
713 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1614
(757) 282-4150
(757) 510-9455
Mailing address
713 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1614
(757) 282-4150
(757) 510-9455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101238945
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101238945
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
TRICARE/CHAMPUS
VA
05
—
010245303
—
VA
01
—
03363
BC/BS
NC
01
—
067VT
BCBS
NC
01
—
10003534
OPTIMA/SENTARA
VA
01
—
10013938
SENTARA OPTIMA
VA
05
—
1528012234
—
VA
01
—
189010
ANTHEM BCBS
VA
01
—
247031
ANTHEM
VA
01
—
3144142
UHC/MAMSI
VA
05
—
5903363
—
NC
01
—
PAR
FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VA
Enumeration date
05/19/2006
Last updated
03/28/2024
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