Eklund, Mira

Eklund, Mira is an individual health care provider with primary practice located at 455 Acoma St , Denver CO 80204-5112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Eklund, Mira can be contacted via phone (303) 780-9191.

Contact Information

Primary practice address
455 Acoma St Denver CO 80204-5112
Phone: (303) 780-9191
Fax: (303) 780-9192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 42236 Colorado

Profile Details

NPI number 1700938990
LBN Legal business name Eklund, Mira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jan 26th, 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 1700938990 NPPES
Colorado Other COA100797 MEDICARE PTAN
Colorado MEDICAID 89228723 MEDICARE PTAN

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