Provider Demographics
NPI:1891112579
Name:HINTON, ISAAC (DO)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:HINTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4480 UTICA RIDGE RD STE 1124
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1644
Mailing Address - Country:US
Mailing Address - Phone:563-742-5300
Mailing Address - Fax:563-742-5305
Practice Address - Street 1:4480 UTICA RIDGE RD STE 1124
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1644
Practice Address - Country:US
Practice Address - Phone:563-742-5300
Practice Address - Fax:563-742-5305
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05344208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery