Organization
ISAACS ORTHOPEDICS SHOES AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP S ISAACS BCP, OST (OWNER)
(615) 327-1490
Entity
Organization
Contact information
Practice address
121 21ST AVE N, SUITE 207, NASHVILLE, TN 37203-5213
(615) 327-1490
(615) 327-4898
Mailing address
121 21ST AVE N, SUITE 207, NASHVILLE, TN 37203-5213
(615) 327-1490
(615) 327-4898
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
CPED0034
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPED0034
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014308
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/23/2008
Last updated
04/23/2008
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