Provider Demographics
NPI:1457842700
Name:CHRISTINE MEHL MIDWIFERY LLC
Entity Type:Organization
Organization Name:CHRISTINE MEHL MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHL
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:218-790-8685
Mailing Address - Street 1:200 5TH ST S STE 305
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-2768
Mailing Address - Country:US
Mailing Address - Phone:218-790-8685
Mailing Address - Fax:218-319-7056
Practice Address - Street 1:200 5TH ST S STE 305
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-2768
Practice Address - Country:US
Practice Address - Phone:218-790-8685
Practice Address - Fax:218-319-7056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty