Schwantke, Brad Elliot

Schwantke, Brad Elliot is an individual health care provider with primary practice located at 4720 White Bear Pkwy , White Bear Lake MN 55110-3336. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Schwantke, Brad Elliot can be contacted via phone (651) 426-2747.

Contact Information

Primary practice address
4720 White Bear Pkwy White Bear Lake MN 55110-3336
Phone: (651) 426-2747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 3252 Minnesota

Profile Details

NPI number 1700115409
LBN Legal business name Schwantke, Brad Elliot
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2009
Last updated Jul 12th, 2011 - about 13 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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