Provider Demographics
NPI:1073040754
Name:ISAACS, PATRICK ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ARTHUR
Last Name:ISAACS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 146TH ST W STE 110
Mailing Address - Street 2:
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-3750
Mailing Address - Country:US
Mailing Address - Phone:651-463-8222
Mailing Address - Fax:651-463-8222
Practice Address - Street 1:2930 146TH ST W STE 110
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-3750
Practice Address - Country:US
Practice Address - Phone:651-463-8222
Practice Address - Fax:651-463-8228
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007560111N00000X
MN6407111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor