Graham, Miranda
Graham, Miranda is an sole proprietor health care provider with primary practice located at 14204 Beech Ave , Cleveland OH 44111-3232. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Graham, Miranda can be contacted via phone (216) 673-8255.Contact Information
Primary practice address
14204 Beech Ave
Cleveland OH 44111-3232
Phone: (216) 673-8255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 401177971210 | Ohio |
Profile Details
| NPI number | 1508210675 |
|---|---|
| LBN Legal business name | Graham, Miranda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2016 |
| Last updated | Apr 14th, 2016 - about 8 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 | 1508210675 | NPPES |
| Ohio | MEDICAID | 0157859 |
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