Individual
RICHARD L MANOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 BATTLEFIELD BLVD N, EMERGENCY DEPARTMENT, CHESAPEAKE, VA 23320-4941
(757) 312-6200
(757) 312-6181
Mailing address
PO BOX 1774, CHESAPEAKE, VA 23327-1774
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101047528
VA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0101047528
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0594Y
BLUE CROSS BLUE SHIELD NC
—
01
—
082480
BLUE CROSS BLUE SHIELD VA
—
01
—
15889
OPTIMA
—
01
—
251490
MAMSI/MDIPA
—
01
—
3900570
OPTIMUM CHOICE
—
05
—
6006621
—
VA
05
—
890594Y
—
NC
01
—
930041250
RR MEDICARE
VA
01
—
930041250
MEDICARE RAILROAD
—
Enumeration date
08/16/2006
Last updated
01/09/2020
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