Isaacson, Paul E

Isaacson, Paul E is an individual health care provider with primary practice located at 1105 4Th Ave E Ste A, Olympia WA 98506-4018. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Isaacson, Paul E can be contacted via phone (360) 357-8075.

Contact Information

Primary practice address
1105 4Th Ave E Ste A Olympia WA 98506-4018
Phone: (360) 357-8075
Fax: (360) 357-3842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00006321 Washington
Dental Providers / Dentist 122300000X DE00006321 Washington

Profile Details

NPI number 1619971413
LBN Legal business name Isaacson, Paul E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 28th, 2010 - about 16 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 1619971413 NPPES
Washington MEDICAID 5019674

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