Isacksen, Robert R

Isacksen, Robert R is an individual health care provider with primary practice located at 601 John St Suite M206C, Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Isacksen, Robert R can be contacted via phone (269) 349-9745.

Contact Information

Primary practice address
601 John St Suite M206C Kalamazoo MI 49007-5341
Phone: (269) 349-9745
Fax: (269) 488-8305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301069750 Michigan

Profile Details

NPI number 1972546059
LBN Legal business name Isacksen, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 27th, 2023 - about last year

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 1972546059 NPPES
Other 114331 GREAT LAKES HLTH PLN
MEDICAID 3358181-10 GREAT LAKES HLTH PLN
Other 5735569 GREAT LAKES HLTH PLN
Other 3403903262 GREAT LAKES HLTH PLN
Other 340C910480 GREAT LAKES HLTH PLN

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