Individual
EILEEN MARIE ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6000 GISHOLT DRIVE, SUITE 102, MADISON, WI 53713-4816
(608) 221-1597
(608) 221-1455
Mailing address
6000 GISHOLT DRIVE, SUITE 102, MADISON, WI 53713-4816
(608) 221-1597
(608) 221-1455
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1305
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38827200
—
WI
Enumeration date
12/13/2006
Last updated
07/08/2007
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