Ellingson, Bradley
Ellingson, Bradley is an individual health care provider with primary practice located at 800 Clark St , Charles City IA 50616-2218. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ellingson, Bradley can be contacted via phone (641) 228-1732.Contact Information
Primary practice address
800 Clark St
Charles City IA 50616-2218
Phone: (641) 228-1732
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 002585 | Iowa |
Profile Details
NPI number | 1598102600 |
---|---|
LBN Legal business name | Ellingson, Bradley |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2013 |
Last updated | Sep 12th, 2015 - about 9 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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