Swanson, Bradley Richard

Swanson, Bradley Richard is an individual health care provider with primary practice located at 54505 26Th Street Unit E, South Bend IN 46635. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Swanson, Bradley Richard can be contacted via phone (574) 807-9050.

Contact Information

Primary practice address
54505 26Th Street Unit E South Bend IN 46635
Phone: (574) 807-9050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 12010670A Indiana

Profile Details

NPI number 1013033794
LBN Legal business name Swanson, Bradley Richard
Credentials DDS MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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