Swanson, David William

Swanson, David William is an sole proprietor health care provider with primary practice located at 1622 29Th Ave Ne , Minneapolis MN 55418-2270. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Swanson, David William can be contacted via phone (612) 718-7506.

Contact Information

Primary practice address
1622 29Th Ave Ne Minneapolis MN 55418-2270
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 40170 Minnesota
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 40170 Minnesota

Profile Details

NPI number 1790979052
LBN Legal business name Swanson, David William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2007
Last updated Mar 7th, 2013 - 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 1790979052 NPPES
Minnesota MEDICAID 530954900

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