Provider Demographics
NPI:1609265073
Name:FAITH IN BIRTH MIDWIFERY
Entity Type:Organization
Organization Name:FAITH IN BIRTH MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:608-574-5852
Mailing Address - Street 1:17012 KING RD
Mailing Address - Street 2:
Mailing Address - City:MINERAL POINT
Mailing Address - State:WI
Mailing Address - Zip Code:53565-8649
Mailing Address - Country:US
Mailing Address - Phone:608-574-5852
Mailing Address - Fax:
Practice Address - Street 1:17012 KING RD
Practice Address - Street 2:
Practice Address - City:MINERAL POINT
Practice Address - State:WI
Practice Address - Zip Code:53565-8649
Practice Address - Country:US
Practice Address - Phone:608-574-5852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI93-49176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty