Manke, Chad R

Manke, Chad R is an individual health care provider with primary practice located at 1975 Glenn Mitchell Dr Ste 200, Va Beach VA 23456-0167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Manke, Chad R can be contacted via phone (757) 321-3383.

Contact Information

Primary practice address
1975 Glenn Mitchell Dr Ste 200 Va Beach VA 23456-0167
Phone: (757) 321-3383
Fax: (757) 321-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101102721 Virginia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 0101102721 Virginia

Profile Details

NPI number 1114965159
LBN Legal business name Manke, Chad R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Feb 12th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114965159 NPPES
Virginia MEDICAID 010064279
Virginia Other 004436V01

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