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DR. ROD J. MANADERO DC PC NPI 1750570735


NPI Information

NPI: 1750570735
Provider Name: DR. ROD J. MANADERO, DC, PC

Doing Business As: MANADERO CHIROPRACTIC

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
727 J CLYDE MORRIS BLVD
SUITE B
NEWPORT NEWS, VA
ZIP 23601
Phone: (757) 595-8433
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DR. ROD J. MANADERO, DC, PC is a medical specialty clinic center in Newport News, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DR. ROD J. MANADERO, DC, PC NPI is 1750570735. The provider is registered as an organization entity type.
The provider Is Doing Business As Manadero Chiropractic.

The provider's business location address is:

727 J CLYDE MORRIS BLVD
SUITE B
NEWPORT NEWS, VA
ZIP 23601-507
Phone: (757) 595-8433
Fax: (757) 595-9004

The provider's authorized official is Rhoderick Manadero .
The authorized official title is Doctor Of Chiropractic/owner and has the following contact phone number (757) 595-8433.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 8/1/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty0104556432VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C10290MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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