Provider Demographics
NPI:1184192056
Name:NINE SHORT MONTHS DOULA MIDWIFERY SERVICE INC
Entity Type:Organization
Organization Name:NINE SHORT MONTHS DOULA MIDWIFERY SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PINTER
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:248-425-6782
Mailing Address - Street 1:28250 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1659
Mailing Address - Country:US
Mailing Address - Phone:248-792-3322
Mailing Address - Fax:248-385-5722
Practice Address - Street 1:28250 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1659
Practice Address - Country:US
Practice Address - Phone:248-792-3322
Practice Address - Fax:248-385-5722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service