Weeks, Brad Alan
Weeks, Brad Alan is an sole proprietor health care provider with primary practice located at 12750 Bass Lake Rd , Maple Grove MN 55369-6307. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Weeks, Brad Alan can be contacted via phone (763) 553-1811.Contact Information
Primary practice address
12750 Bass Lake Rd
Maple Grove MN 55369-6307
Phone: (763) 553-1811
Fax: (763) 553-0131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MN-2168 | Minnesota |
Profile Details
| NPI number | 1073694873 |
|---|---|
| LBN Legal business name | Weeks, Brad Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073694873 | NPPES |
| Minnesota | Other | 22-00006 | MEDICA |
| Minnesota | Other | 112008 | MEDICA |
| Minnesota | Other | 84285BA | MEDICA |
| Minnesota | Other | 935791000 | MEDICA |
| Minnesota | Other | 46652 | MEDICA |
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