Individual
DR. PHILLIP LEE ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
524 SOUTH 4TH STREET, SUITE # 1, EAGLE, NE 68347
(402) 781-9200
Mailing address
PO BOX 20, 524 SOUTH 4TH STREET SUITE # 1, EAGLE, NE 68347
(402) 781-9200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1336
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36608
BCBS
NE
Enumeration date
11/22/2006
Last updated
07/08/2007
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