Individual
LUIGI MANZOLILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
280 BROADWAY, PROVIDENCE, RI 02903-3007
(401) 273-0046
(401) 273-4100
Mailing address
280 BROADWAY, PROVIDENCE, RI 02903-3007
(401) 273-0046
(401) 273-4100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC00321
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35440
BLUE CROSS
—
01
—
4400054
UNITED
—
Enumeration date
09/07/2005
Last updated
02/29/2008
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