Joseph, Isaac V
Joseph, Isaac V is an sole proprietor health care provider with primary practice located at 6555 Professional Pl Suite D, Riverdale GA 30274-4903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Joseph, Isaac V can be contacted via phone (770) 994-7700.Contact Information
Primary practice address
6555 Professional Pl Suite D
Riverdale GA 30274-4903
Phone: (770) 994-7700
Fax: (770) 997-8399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 028285 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 028285 | Georgia |
Profile Details
| NPI number | 1053411207 |
|---|---|
| LBN Legal business name | Joseph, Isaac V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 6th, 2024 - about 2 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 | 1053411207 | NPPES |
| Georgia | Other | 0498460 | AETNA |
| Georgia | MEDICAID | 00327192A | AETNA |
| Georgia | Other | 52278960 | AETNA |
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