Provider Demographics
NPI:1578835997
Name:IN TANDEM MIDWIFERY, LLC
Entity Type:Organization
Organization Name:IN TANDEM MIDWIFERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMIL
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:425-243-7848
Mailing Address - Street 1:4517 CALIFORNIA AVE SW STE H
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4903
Mailing Address - Country:US
Mailing Address - Phone:425-243-7848
Mailing Address - Fax:206-629-7676
Practice Address - Street 1:4517 CALIFORNIA AVE SW STE H
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4903
Practice Address - Country:US
Practice Address - Phone:425-243-7848
Practice Address - Fax:206-629-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care