Isaacson, Ted Matthew
Isaacson, Ted Matthew is an individual health care provider with primary practice located at 191 West Burton Mesa Blvd Suite B, Lompoc CA 93436. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Isaacson, Ted Matthew can be contacted via phone (805) 733-4542.Contact Information
Primary practice address
191 West Burton Mesa Blvd Suite B
Lompoc CA 93436
Phone: (805) 733-4542
Fax: (805) 733-4392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP12824 | California |
Profile Details
| NPI number | 1043385727 |
|---|---|
| LBN Legal business name | Isaacson, Ted Matthew |
| Credentials | MS CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043385727 | NPPES |
| California | Other | 0663623 | TRIWEST |
| California | MEDICAID | GSP000390 | TRIWEST |
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