Black, Miranda

Black, Miranda is an individual health care provider with primary practice located at 228 Nw B St , Grants Pass OR 97526-2032. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Black, Miranda can be contacted via phone (541) 244-0111.

Contact Information

Primary practice address
228 Nw B St Grants Pass OR 97526-2032
Phone: (541) 244-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC01255 Oregon

Profile Details

NPI number 1902049554
LBN Legal business name Black, Miranda
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Jun 13th, 2013 - about 11 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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