Miranda, Daniel

Miranda, Daniel is an individual health care provider with primary practice located at 326 N Miller St , Wenatchee WA 98801-1906. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Miranda, Daniel can be contacted via phone (509) 667-0679.

Contact Information

Primary practice address
326 N Miller St Wenatchee WA 98801-1906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO60424350 Washington

Profile Details

NPI number 1477964807
LBN Legal business name Miranda, Daniel
Credentials CDPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2014
Last updated May 20th, 2014 - about 10 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 1477964807 NPPES
Washington MEDICAID 11266911

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