Provider Demographics
NPI:1669853354
Name:OSTER, BETH (CPM)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:OSTER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 GONDER RD
Mailing Address - Street 2:
Mailing Address - City:INTERLOCHEN
Mailing Address - State:MI
Mailing Address - Zip Code:49643-8414
Mailing Address - Country:US
Mailing Address - Phone:913-617-7476
Mailing Address - Fax:231-346-6009
Practice Address - Street 1:2921 GONDER RD
Practice Address - Street 2:
Practice Address - City:INTERLOCHEN
Practice Address - State:MI
Practice Address - Zip Code:49643-8414
Practice Address - Country:US
Practice Address - Phone:913-617-7476
Practice Address - Fax:231-346-6009
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife