Healthcare Provider Details

I. General information

NPI: 1841029154
Provider Name (Legal Business Name): MR. ISAAC SAXBY II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 LINCOLN AVE
TOLEDO OH
43607-1922
US

IV. Provider business mailing address

1031 LINCOLN AVE
TOLEDO OH
43607-1922
US

V. Phone/Fax

Practice location:
  • Phone: 567-290-8873
  • Fax:
Mailing address:
  • Phone: 567-290-8873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: