Isaacson, Glenn H

Isaacson, Glenn H is an individual health care provider with primary practice located at 1340 N Wenatchee Ave , Wenatchee WA 98801-1558. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Isaacson, Glenn H can be contacted via phone (509) 663-8868.

Contact Information

Primary practice address
1340 N Wenatchee Ave Wenatchee WA 98801-1558
Fax: (509) 663-9006
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00001045 Washington

Profile Details

NPI number 1740232669
LBN Legal business name Isaacson, Glenn H
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1740232669 NPPES
Washington MEDICAID 2022036

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