Manalo, Erwin M

Manalo, Erwin M is an individual health care provider with primary practice located at 1 Siskin Plz Ste 101 , Chattanooga TN 37403-1306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Brain Injury Medicine. Allopathic & Osteopathic Physicians / Brain Injury Medicine is his primary health care specialty. Manalo, Erwin M can be contacted via phone (423) 803-2226.

Contact Information

Primary practice address
1 Siskin Plz Ste 101 Chattanooga TN 37403-1306
Phone: (423) 803-2226
Fax: (423) 803-2222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 200301260 North Carolina
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2081P0301X 79154 Georgia
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2081P0301X 54591 Tennessee

Profile Details

NPI number 1982697876
LBN Legal business name Manalo, Erwin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Aug 10th, 2021 - about 5 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 1982697876 NPPES
North Carolina MEDICAID 1982697876
North Carolina Other P00111583
North Carolina Other 135CT

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