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.
Popular Providers
-
Gill, Gina Ann
19576 Holt St Nw , Elk River MN 55330-1287 -
Mickelson, Craig Roberts
1720 Highway 59 S , Thief River Falls MN 56701-4331 -
Asfeld, Lucas James
510 Freeport Ave Nw Ste C , Elk River MN 55330-3007 -
Tran, Quy T
19576 Holt St Nw , Elk River MN 55330 -
Sawyer, David M
510 Freeport Ave Nw Suite C, Elk River MN 55330-3002 -
Tjelle, Eric M
1720 Hwy 59 Se Suite 1 Box 505, Thief River Falls MN 56701 -
Hess, Rodney Jerome
19022 Freeport Ave Nw , Elk River MN 55330-4767 -
Marvin, Michael S
424 Barclay Ave , Pine River MN 56474-0457