Blackbourn, Miranda Rene

Blackbourn, Miranda Rene is an sole proprietor health care provider with primary practice located at 1115 3Rd St , Muskegon MI 49441-2170. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Blackbourn, Miranda Rene can be contacted via phone (231) 722-9622.

Contact Information

Primary practice address
1115 3Rd St Muskegon MI 49441-2170
Phone: (231) 722-9622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1841920352
LBN Legal business name Blackbourn, Miranda Rene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2022
Last updated Jun 16th, 2022 - about 3 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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