Isaac Nathan O'Dell in Johnson City - Medical

Isaac Nathan O'Dell - NPI 1821035908

Isaac Nathan O'Dell is a Medical in Johnson City, Tennessee. Isaac Nathan O'Dell practices all healthcare services and medical treatments related to Medical. The NPI Number for Isaac Nathan O'Dell is 1821035908. The last update date is 2009-12-10.

Isaac Nathan O'Dell's current location address is 701 Med Tech Pkwy, Johnson City, Tennessee. You can contact this provider via phone number 4232328301 and fax number 4232328304. The mailing address for Isaac Nathan O'Dell is 701 Med Tech Pkwy, Johnson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Isaac Nathan O'Dell
Address 701 Med Tech Pkwy, Johnson City, Tennessee
Phone Number 4232328301
Fax Number 4232328304
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1821035908
Provider Enumeration Date 2006-05-31
Last Updated Date 2009-12-10

Provider Mailing Address Detail

Address 701 Med Tech Pkwy
City Johnson City
State Tennessee (TN)
Post Code 376042365
Phone Number 4232328301
Fax Number 4232328304

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA0000001330
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4126669 TN BCBS
1514552 TN --

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FAQs about Isaac Nathan O'Dell

What is the unique 10-digit identification code issued to Isaac Nathan O'Dell by the Centers for Medicare & Medicaid Services?

The Isaac Nathan O'Dell has been assigned the NPI (National Provider Identifier) 1821035908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Isaac Nathan O'Dell's facilities are geographically located?

The facilities of Isaac Nathan O'Dell are physically situated at the following location: 701 Med Tech Pkwy, Johnson City, TN, 376042365.

What is the Isaac Nathan O'Dell's area of specialization and corresponding taxonomy classification?

The Isaac Nathan O'Dell's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

When did Isaac Nathan O'Dell receive its 1821035908 assignment?

The Isaac Nathan O'Dell was assigned its 1821035908 on 2006-05-31, which is the date when this unique identifier was issued to the organization.

When was the information related to Isaac Nathan O'Dell most recently updated or refreshed?

The details pertaining to the Isaac Nathan O'Dell, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-10.

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