Delacruz, Manuela M
Delacruz, Manuela M is an individual health care provider with primary practice located at 160 Kingsley Ln Suite 103, Norfolk VA 23505-4600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Delacruz, Manuela M can be contacted via phone (757) 889-6677.Contact Information
Primary practice address
160 Kingsley Ln Suite 103
Norfolk VA 23505-4600
Phone: (757) 889-6677
Fax: (757) 889-6652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101042498 | Virginia |
Profile Details
| NPI number | 1679673685 |
|---|---|
| LBN Legal business name | Delacruz, Manuela M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Apr 24th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679673685 | NPPES |
| Virginia | Other | 415671 | MDIPA |
| Virginia | MEDICAID | 5819199 | MDIPA |
| Virginia | Other | 4413117 | MDIPA |
| Virginia | MEDICAID | 1679673685 | MDIPA |
| Virginia | Other | 15504 | MDIPA |
| Virginia | Other | 325099 | MDIPA |
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