Ewald, Brad Harold
Ewald, Brad Harold is an individual health care provider with primary practice located at 2900 S Main St , Rice Lake WI 54868. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ewald, Brad Harold can be contacted via phone (715) 234-1511.Contact Information
Primary practice address
2900 S Main St
Rice Lake WI 54868
Phone: (715) 234-1511
Fax: (715) 434-1513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1347-035 | Wisconsin |
Profile Details
| NPI number | 1396863387 |
|---|---|
| LBN Legal business name | Ewald, Brad Harold |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Dec 9th, 2008 - about 16 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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