Isackson, Ronald D

Isackson, Ronald D is an individual health care provider with primary practice located at 109 7Th St W , Dickinson ND 58601-3949. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Isackson, Ronald D can be contacted via phone (701) 483-2973.

Contact Information

Primary practice address
109 7Th St W Dickinson ND 58601-3949
Fax: (701) 483-2983
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9777 North Dakota

Profile Details

NPI number 1134111404
LBN Legal business name Isackson, Ronald D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 8th, 2007 - about 18 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 1134111404 NPPES
North Dakota MEDICAID 13286

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