Wornom, Isaac Leake

Wornom, Isaac Leake is an individual health care provider with primary practice located at 1630 Wilkes Ridge Pkwy Ste 201 , Richmond VA 23233-7460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Wornom, Isaac Leake can be contacted via phone (804) 285-4115.

Contact Information

Primary practice address
1630 Wilkes Ridge Pkwy Ste 201 Richmond VA 23233-7460
Phone: (804) 285-4115
Fax: (804) 673-6714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 0101043924 Virginia

Profile Details

NPI number 1568407070
LBN Legal business name Wornom, Isaac Leake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Nov 28th, 2018 - about 8 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 1568407070 NPPES
Virginia MEDICAID 009999558

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