Swanson, Sophia Nmi

Swanson, Sophia Nmi is an sole proprietor health care provider with primary practice located at 2800 S Columbia Rd J.C. Penney Optical-Columbia Mall, Grand Forks ND 58201-6076. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Swanson, Sophia Nmi can be contacted via phone (701) 746-4810.

Contact Information

Primary practice address
2800 S Columbia Rd J.C. Penney Optical-Columbia Mall Grand Forks ND 58201-6076
Phone: (701) 746-4810
Fax: (701) 746-9260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 576 North Dakota

Profile Details

NPI number 1811967706
LBN Legal business name Swanson, Sophia Nmi
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Mar 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811967706 NPPES
North Dakota MEDICAID 60525

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