Isakov, Vyacheslav
Isakov, Vyacheslav is an sole proprietor health care provider with primary practice located at 29640 Euclid Ave , Wickliffe OH 44092-1829. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Isakov, Vyacheslav can be contacted via phone (440) 585-2221.Contact Information
Primary practice address
29640 Euclid Ave
Wickliffe OH 44092-1829
Phone: (440) 585-2221
Fax: (440) 585-0249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35086279 | Ohio |
Profile Details
| NPI number | 1407826803 |
|---|---|
| LBN Legal business name | Isakov, Vyacheslav |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 14th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407826803 | NPPES |
| Ohio | MEDICAID | 2595008 |
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