Eastham, Miranda Lynn

Eastham, Miranda Lynn is an individual health care provider with primary practice located at 1900 Silver Lake Rd Nw Ste 110 , New Brighton MN 55112-1789. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Eastham, Miranda Lynn can be contacted via phone (651) 628-9566.

Contact Information

Primary practice address
1900 Silver Lake Rd Nw Ste 110 New Brighton MN 55112-1789
Phone: (651) 628-9566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1588182992
LBN Legal business name Eastham, Miranda Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2017
Last updated Jul 21st, 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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