Isidro, Enrique
Isidro, Enrique is an individual health care provider with primary practice located at 6391 Roosevelt Hwy , Warm Springs GA 31830-2281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Isidro, Enrique can be contacted via phone (706) 655-5337.Contact Information
Primary practice address
6391 Roosevelt Hwy
Warm Springs GA 31830-2281
Phone: (706) 655-5337
Fax: (706) 655-5299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 49617 | Georgia |
Profile Details
| NPI number | 1356399646 |
|---|---|
| LBN Legal business name | Isidro, Enrique |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 26th, 2010 - about 15 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 | 1356399646 | NPPES |
| Georgia | MEDICAID | 00898147B |
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