Isaacson, Richard Lee

Isaacson, Richard Lee is an sole proprietor health care provider with primary practice located at 2020 W 86Th St 108, Indianapolis IN 46260-1931. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Isaacson, Richard Lee can be contacted via phone (317) 872-0984.

Contact Information

Primary practice address
2020 W 86Th St 108 Indianapolis IN 46260-1931
Phone: (317) 872-0984
Fax: (317) 872-0349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000414A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000414A Indiana
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 07000414A Indiana

Profile Details

NPI number 1154323590
LBN Legal business name Isaacson, Richard Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Apr 5th, 2017 - 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 1154323590 NPPES
Indiana MEDICAID 100061710 A & B

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