Provider Demographics
NPI:1548408065
Name:LABONNE, SABINE (LM, CPM)
Entity Type:Individual
Prefix:MS
First Name:SABINE
Middle Name:
Last Name:LABONNE
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MARQUETTE RD
Mailing Address - Street 2:
Mailing Address - City:UPPER MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-2636
Mailing Address - Country:US
Mailing Address - Phone:973-783-3032
Mailing Address - Fax:888-366-4167
Practice Address - Street 1:50 MARQUETTE RD
Practice Address - Street 2:
Practice Address - City:UPPER MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-2636
Practice Address - Country:US
Practice Address - Phone:973-783-3032
Practice Address - Fax:888-366-4167
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MW00000800176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife