Provider Demographics
NPI:1376799601
Name:ISBELL, INC.
Entity type:Organization
Organization Name:ISBELL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:BURKETT
Authorized Official - Last Name:ISBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-618-6207
Mailing Address - Street 1:26357 PEACOCK PL
Mailing Address - Street 2:
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381-1143
Mailing Address - Country:US
Mailing Address - Phone:818-365-9690
Mailing Address - Fax:818-365-9199
Practice Address - Street 1:14901 RINALDI ST STE 335
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1237
Practice Address - Country:US
Practice Address - Phone:818-365-9690
Practice Address - Fax:818-365-9199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12713111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Multi-Specialty