Ishoo, Edwin
Ishoo, Edwin is an sole proprietor health care provider with primary practice located at One Brookline Place Suite 321, Brookline MA 02445. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Ishoo, Edwin can be contacted via phone (781) 552-6089.Contact Information
Primary practice address
One Brookline Place Suite 321
Brookline MA 02445
Phone: (781) 552-6089
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 2005-0084 | New Mexico |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 154977 | Massachusetts |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 154977 | Massachusetts |
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 154977 | Massachusetts |
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | MD2005-0084 | New Mexico |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 154977 | Massachusetts |
Profile Details
| NPI number | 1760497226 |
|---|---|
| LBN Legal business name | Ishoo, Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Sep 23rd, 2009 - about 16 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 | 1760497226 | NPPES |
| Massachusetts | MEDICAID | 2161133 |
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