Isaacs, Irwin John

Isaacs, Irwin John is an individual health care provider with primary practice located at 4163 Montgomery Blvd Ne , Albuquerque NM 87109-6742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Isaacs, Irwin John can be contacted via phone (505) 554-4843.

Contact Information

Primary practice address
4163 Montgomery Blvd Ne Albuquerque NM 87109-6742
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2000-52 New Mexico

Profile Details

NPI number 1942202205
LBN Legal business name Isaacs, Irwin John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 27th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942202205 NPPES
New Mexico Other 374357 PRONET / AETNA
New Mexico MEDICAID 515538 PRONET / AETNA
New Mexico MEDICAID 58322 PRONET / AETNA
New Mexico MEDICAID 66352 PRONET / AETNA
New Mexico Other NM009R83 PRONET / AETNA

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