Isenberg, Michael T
Isenberg, Michael T is an individual health care provider with primary practice located at 7900 W Jefferson Blvd Suite 201, Fort Wayne IN 46804-4128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Isenberg, Michael T can be contacted via phone (260) 969-7100.Contact Information
Primary practice address
7900 W Jefferson Blvd Suite 201
Fort Wayne IN 46804-4128
Phone: (260) 969-7100
Fax: (260) 969-7264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01024412 | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01024412A | Indiana |
Profile Details
| NPI number | 1871546960 |
|---|---|
| LBN Legal business name | Isenberg, Michael T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Aug 12th, 2010 - 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 | 1871546960 | NPPES |
| Indiana | MEDICAID | 100355800 |
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