Provider Demographics
NPI:1801233481
Name:ISAACS, ANDREW HAYDEN (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HAYDEN
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 1:4132 20TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-5001
Mailing Address - Country:US
Mailing Address - Phone:941-752-1700
Mailing Address - Fax:941-752-1717
Practice Address - Street 1:4132 20TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-5001
Practice Address - Country:US
Practice Address - Phone:941-752-1700
Practice Address - Fax:941-752-1717
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH1965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor