Isaac, Jonathan
Isaac, Jonathan is an individual health care provider with primary practice located at 700 Ne 87Th Ave Ste 210 , Vancouver WA 98664-1913. 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 / Cardiovascular Disease is his primary health care specialty. Isaac, Jonathan can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
700 Ne 87Th Ave Ste 210
Vancouver WA 98664-1913
Phone: (360) 882-2778
Fax: (360) 604-1753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T-2558 | Mississippi |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD60834235 | Washington |
Profile Details
| NPI number | 1730443110 |
|---|---|
| LBN Legal business name | Isaac, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Jul 24th, 2018 - about 7 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 | 1730443110 | NPPES |
| Mississippi | Other | T-2558 | TEMPOPRARY STATE MEDICAL LICENSE |
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