Isbell, R. Douglas

Isbell, R. Douglas is an sole proprietor health care provider with primary practice located at 2065 E 17Th St Suite D, Idaho Falls ID 83404-8042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Isbell, R. Douglas can be contacted via phone (208) 522-0747.

Contact Information

Primary practice address
2065 E 17Th St Suite D Idaho Falls ID 83404-8042
Phone: (208) 522-0747
Fax: (208) 522-9641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M-4317 Idaho

Profile Details

NPI number 1750490546
LBN Legal business name Isbell, R. Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Aug 22nd, 2016 - about 10 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 1750490546 NPPES
Idaho MEDICAID 002352400

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