Provider Demographics
NPI:1164808051
Name:OCEAN MIDWIVES, INC.
Entity Type:Organization
Organization Name:OCEAN MIDWIVES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:760-436-9166
Mailing Address - Street 1:1042 N EL CAMINO REAL
Mailing Address - Street 2:SUITE B114
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1322
Mailing Address - Country:US
Mailing Address - Phone:760-436-9166
Mailing Address - Fax:760-436-9166
Practice Address - Street 1:309 COUNTRYWOOD LN
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3136
Practice Address - Country:US
Practice Address - Phone:760-436-9166
Practice Address - Fax:760-436-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA403176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty