Bush, Brooke Heineman
Bush, Brooke Heineman is an individual health care provider with primary practice located at 19022 Freeport St Nw #H, Elk River MN 55330-4766. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bush, Brooke Heineman can be contacted via phone (763) 441-1055.Contact Information
Primary practice address
19022 Freeport St Nw #H
Elk River MN 55330-4766
Phone: (763) 441-1055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3123 | Minnesota |
Profile Details
| NPI number | 1992966022 |
|---|---|
| LBN Legal business name | Bush, Brooke Heineman |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2008 |
| Last updated | Mar 14th, 2017 - about 7 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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