Swanson, Todd C

Swanson, Todd C is an individual health care provider with primary practice located at 2900 S Wisconsin Ave , Rice Lake WI 54868-8578. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Swanson, Todd C can be contacted via phone (608) 341-9636.

Contact Information

Primary practice address
2900 S Wisconsin Ave Rice Lake WI 54868-8578
Phone: (608) 341-9636
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2907-035 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 2907 Wisconsin

Profile Details

NPI number 1063475879
LBN Legal business name Swanson, Todd C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated May 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063475879 NPPES
Wisconsin MEDICAID 38620100
Wisconsin Other 1042571
Wisconsin Other 60180

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