Brubaker, Elliott Dale

Brubaker, Elliott Dale is an individual health care provider with primary practice located at 1270 Promenade Pl Ste 120 , Eagan MN 55121-2537. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brubaker, Elliott Dale can be contacted via phone (651) 452-8442.

Contact Information

Primary practice address
1270 Promenade Pl Ste 120 Eagan MN 55121-2537
Phone: (651) 452-8442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2514 Minnesota

Profile Details

NPI number 1508969403
LBN Legal business name Brubaker, Elliott Dale
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Aug 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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