Fortes, Manuel Correa
Fortes, Manuel Correa is an individual health care provider with primary practice located at 2722 Merrilee Dr Ste 230 , Fairfax VA 22031-4400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Fortes, Manuel Correa can be contacted via phone (703) 698-4488.Contact Information
Primary practice address
2722 Merrilee Dr Ste 230
Fairfax VA 22031-4400
Phone: (703) 698-4488
Fax: (703) 204-0116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME142665 | Florida |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | DR.0067125 | Colorado |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | D0074808 | Maryland |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0101265756 | Virginia |
Profile Details
| NPI number | 1962639757 |
|---|---|
| LBN Legal business name | Fortes, Manuel Correa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2009 |
| Last updated | Jun 30th, 2023 - about last year |
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 | 1962639757 | NPPES |
| Virginia | MEDICAID | 1962639757 |
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