Isaacson, Kale R
Isaacson, Kale R is an individual health care provider with primary practice located at 1334 Wyoming Blvd Ne , Albuquerque NM 87112-5067. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Isaacson, Kale R can be contacted via phone (505) 292-3317.Contact Information
Primary practice address
1334 Wyoming Blvd Ne
Albuquerque NM 87112-5067
Phone: (505) 292-3317
Fax: (505) 292-3402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 937 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 937 | New Mexico |
Profile Details
| NPI number | 1831186485 |
|---|---|
| LBN Legal business name | Isaacson, Kale R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | May 12th, 2008 - about 18 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 | 1831186485 | NPPES |
| Other | NM00Q451 | BCBS | |
| MEDICAID | 66908001 | BCBS |
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