1790742740 NPI number — MIDWIFERY TRADITIONS & ASSOCIATES, P.C.

Table of content: (NPI 1790742740)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790742740 NPI number — MIDWIFERY TRADITIONS & ASSOCIATES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIDWIFERY TRADITIONS & ASSOCIATES, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790742740
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/19/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 125
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEDMINSTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18910-0125
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-249-9646
Provider Business Mailing Address Fax Number:
215-249-3786

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24 MAINLAND RD UNIT 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLEYSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19438-2531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-249-9646
Provider Business Practice Location Address Fax Number:
215-249-3786
Provider Enumeration Date:
04/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HINDLE
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
MARY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
215-249-9646

Provider Taxonomy Codes

  • Taxonomy code: 176B00000X , with the licence number:  MW008598L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1043276173 . This is a "KATHLEEN HINDLE, CNM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com