Isaacson, Wayne

Isaacson, Wayne is an individual health care provider with primary practice located at 4035 Evans Ave Suite 1, Fort Myers FL 33901-9308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Isaacson, Wayne can be contacted via phone (239) 939-7375.

Contact Information

Primary practice address
4035 Evans Ave Suite 1 Fort Myers FL 33901-9308
Phone: (239) 939-7375
Fax: (239) 939-5105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME71098 Florida

Profile Details

NPI number 1215928189
LBN Legal business name Isaacson, Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 21st, 2016 - 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 1215928189 NPPES
Florida MEDICAID 253173900
Florida Other 32138

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