Miron, Theodore Jon

Miron, Theodore Jon is an sole proprietor health care provider with primary practice located at 3542 N 130Th Dr , Avondale AZ 85323-6681. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Miron, Theodore Jon can be contacted via phone (623) 877-8695.

Contact Information

Primary practice address
3542 N 130Th Dr Avondale AZ 85323-6681
Phone: (623) 877-8695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1194946665
LBN Legal business name Miron, Theodore Jon
Credentials PSY.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 25th, 2007 - about 19 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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