| Isleib Center Pllc | |
|
101 E Lancaster Ave Ste 306 Wayne PA 19087-3544 | |
| (610) 488-2931 | |
| Not Available |
| Full Name | Isleib Center Pllc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 101 E Lancaster Ave Ste 306, Wayne, Pennsylvania |
| Authorized Official Name and Position | Andrew Isleib (OWNER) |
| Authorized Official Contact | 6104882931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isleib Center Pllc 101 E Lancaster Ave Ste 306 Wayne PA 19087-3544 Ph: (610) 488-2931 | Isleib Center Pllc 101 E Lancaster Ave Ste 306 Wayne PA 19087-3544 Ph: (610) 488-2931 |
| NPI Number | 1407539026 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 8527416742 |
|---|---|
| Medicare Enrollment ID | O20231129001644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407539026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Andrew S Isleib |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811317431 PECOS PAC ID: 7719233204 Enrollment ID: I20180713002245 |
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