Isom, Barbara

Isom, Barbara is an individual health care provider with primary practice located at 1145 W. Main Ave Suite 205, Depere WI 54115. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Isom, Barbara can be contacted via phone (920) 336-6650.

Contact Information

Primary practice address
1145 W. Main Ave Suite 205 Depere WI 54115
Phone: (920) 336-6650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6272-024 Wisconsin

Profile Details

NPI number 1013182310
LBN Legal business name Isom, Barbara
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013182310 NPPES
Wisconsin MEDICAID 40322300

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