Siemsen, Miranda Nicole

Siemsen, Miranda Nicole is an sole proprietor health care provider with primary practice located at 5117 Main St , Downers Grove IL 60515-4654. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Siemsen, Miranda Nicole can be contacted via phone (708) 228-4076.

Contact Information

Primary practice address
5117 Main St Downers Grove IL 60515-4654
Phone: (708) 228-4076
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-201593 Illinois

Profile Details

NPI number 1104570589
LBN Legal business name Siemsen, Miranda Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2022
Last updated Feb 4th, 2022 - about 4 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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