Provider Demographics
NPI:1912158262
Name:CASE, ISAAC HIRAM (DC)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:HIRAM
Last Name:CASE
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 1:121 RIDGELAND RD
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-9450
Mailing Address - Country:US
Mailing Address - Phone:812-230-2090
Mailing Address - Fax:
Practice Address - Street 1:121 RIDGELAND RD
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-9450
Practice Address - Country:US
Practice Address - Phone:812-230-2090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002397A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor