Miracle, Kadian Samantha

Miracle, Kadian Samantha is an sole proprietor health care provider with primary practice located at 100 West College Street Whisler Hall, Granville OH 43023. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Miracle, Kadian Samantha can be contacted via phone (740) 274-5792.

Contact Information

Primary practice address
100 West College Street Whisler Hall Granville OH 43023
Phone: (740) 274-5792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P.7565 Ohio
Behavioral Health & Social Service Providers / Health Service 103TH0100X P.7565 Ohio

Profile Details

NPI number 1376109892
LBN Legal business name Miracle, Kadian Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2019
Last updated May 10th, 2019 - about 5 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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