Peralta, Manuel T

Peralta, Manuel T is an individual health care provider with primary practice located at 2103 Graves Mill Rd , Forest VA 24551-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peralta, Manuel T can be contacted via phone (434) 316-7199.

Contact Information

Primary practice address
2103 Graves Mill Rd Forest VA 24551-2675
Phone: (434) 316-7199
Fax: (434) 316-6185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101241169 Virginia

Profile Details

NPI number 1245451194
LBN Legal business name Peralta, Manuel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated May 14th, 2008 - about 16 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 1245451194 NPPES
Other 1245451194 SOUTHERN HEALTH
MEDICAID 1245451194 SOUTHERN HEALTH
Other 014695A65 SOUTHERN HEALTH
Other 1245451194 SOUTHERN HEALTH
Other 302185 SOUTHERN HEALTH
Other 3700863 SOUTHERN HEALTH
Other 541901162 SOUTHERN HEALTH

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