Minehart, Isaac M
Minehart, Isaac M is an sole proprietor health care provider with primary practice located at 638 W Duarte Rd Suite 18, Arcadia CA 91007-7616. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Minehart, Isaac M can be contacted via phone (626) 445-2371.Contact Information
Primary practice address
638 W Duarte Rd Suite 18
Arcadia CA 91007-7616
Phone: (626) 445-2371
Fax: (626) 445-2618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A44356 | California |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | A44356 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A44356 | California |
Profile Details
| NPI number | 1639167091 |
|---|---|
| LBN Legal business name | Minehart, Isaac M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Nov 2nd, 2020 - about 6 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 | 1639167091 | NPPES |
| California | MEDICAID | 00A443561 |
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