Provider Demographics
NPI:1679635098
Name:SPECIAL BEGINNINGS BIRTH & WOMEN'S CENTER, LLC
Entity Type:Organization
Organization Name:SPECIAL BEGINNINGS BIRTH & WOMEN'S CENTER, LLC
Other - Org Name:SPECIAL BEGINNINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BURK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-626-8982
Mailing Address - Street 1:1454 BALTIMORE ANNAPOLIS BLVD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2455
Mailing Address - Country:US
Mailing Address - Phone:410-626-8982
Mailing Address - Fax:410-626-8805
Practice Address - Street 1:1454 BALTIMORE ANNAPOLIS BLVD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2455
Practice Address - Country:US
Practice Address - Phone:410-626-8982
Practice Address - Fax:410-626-8805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDB018367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD104NMedicare ID - Type Unspecified
MD235290700Medicare ID - Type Unspecified