Miranda, Daniel Boone
Miranda, Daniel Boone is an sole proprietor health care provider with primary practice located at 1989 Vicente Dr , San Luis Obispo CA 93405-6863. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Licensed Psychiatric Technician. Nursing Service Providers / Licensed Psychiatric Technician is his primary health care specialty. Miranda, Daniel Boone can be contacted via phone (805) 781-4179.Contact Information
Primary practice address
1989 Vicente Dr
San Luis Obispo CA 93405-6863
Phone: (805) 781-4179
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PT 36369 | California |
| Nursing Service Providers / Licensed Psychiatric Technician | 167G00000X | 36369 | California |
Profile Details
| NPI number | 1285994939 |
|---|---|
| LBN Legal business name | Miranda, Daniel Boone |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2012 |
| Last updated | Jan 24th, 2024 - about 2 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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