Provider Demographics
NPI:1740613785
Name:MARGARET ELIZABETH BENNETT
Entity Type:Organization
Organization Name:MARGARET ELIZABETH BENNETT
Other - Org Name:MAGGIE BENNETT, LM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:E
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:831-394-4649
Mailing Address - Street 1:3 BALFOUR CT
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-4608
Mailing Address - Country:US
Mailing Address - Phone:831-394-4649
Mailing Address - Fax:831-394-4649
Practice Address - Street 1:3 BALFOUR CT
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-4608
Practice Address - Country:US
Practice Address - Phone:831-394-4649
Practice Address - Fax:831-394-4649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM20176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty