Isom, Robert Tristian

Isom, Robert Tristian is an individual health care provider with primary practice located at 1600 Congress St Ste B , Portland ME 04102-2148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Isom, Robert Tristian can be contacted via phone (207) 774-5222.

Contact Information

Primary practice address
1600 Congress St Ste B Portland ME 04102-2148
Phone: (207) 774-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD25822 Maine
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 217627 New York

Profile Details

NPI number 1356428072
LBN Legal business name Isom, Robert Tristian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 24th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356428072 NPPES
New York MEDICAID 02423449

Popular Providers