O'Dell, Isaac Nathan

O'Dell, Isaac Nathan is an individual health care provider with primary practice located at 701 Med Tech Pkwy Suite 300, Johnson City TN 37604-2365. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. O'Dell, Isaac Nathan can be contacted via phone (423) 232-8301.

Contact Information

Primary practice address
701 Med Tech Pkwy Suite 300 Johnson City TN 37604-2365
Phone: (423) 232-8301
Fax: (423) 232-8304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000001330 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA0000001330 Tennessee

Profile Details

NPI number 1821035908
LBN Legal business name O'Dell, Isaac Nathan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Dec 10th, 2009 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821035908 NPPES
Tennessee Other 4126669 BCBS
Tennessee MEDICAID 1514552 BCBS

Popular Providers