Isaacs, Irwin John
Isaacs, Irwin John is an individual health care provider with primary practice located at 4163 Montgomery Blvd Ne , Albuquerque NM 87109-6742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Isaacs, Irwin John can be contacted via phone (505) 554-4843.Contact Information
Primary practice address
4163 Montgomery Blvd Ne
Albuquerque NM 87109-6742
Phone: (505) 554-4843
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2000-52 | New Mexico |
Profile Details
| NPI number | 1942202205 |
|---|---|
| LBN Legal business name | Isaacs, Irwin John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Feb 27th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942202205 | NPPES |
| New Mexico | Other | 374357 | PRONET / AETNA |
| New Mexico | MEDICAID | 515538 | PRONET / AETNA |
| New Mexico | MEDICAID | 58322 | PRONET / AETNA |
| New Mexico | MEDICAID | 66352 | PRONET / AETNA |
| New Mexico | Other | NM009R83 | PRONET / AETNA |
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