Isaac, John
Isaac, John is an individual health care provider with primary practice located at 390 Toll Gate Rd Ste.200, Warwick RI 02886-4326. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Isaac, John can be contacted via phone (401) 739-8010.Contact Information
Primary practice address
390 Toll Gate Rd Ste.200
Warwick RI 02886-4326
Phone: (401) 739-8010
Fax: (401) 739-6087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20154 | New Hampshire |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101268741 | Virginia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD07525 | Rhode Island |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | RI7525 | Rhode Island |
Profile Details
| NPI number | 1225037435 |
|---|---|
| LBN Legal business name | Isaac, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Sep 27th, 2022 - 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 | 1225037435 | NPPES |
| Rhode Island | Other | 200881 | BLUE CHIP PROVIDER ID |
| Rhode Island | MEDICAID | 7000784 | BLUE CHIP PROVIDER ID |
| Rhode Island | MEDICAID | 3121659 | BLUE CHIP PROVIDER ID |
| Rhode Island | Other | 29065-0 | BLUE CHIP PROVIDER ID |
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