Provider Demographics
NPI:1942675434
Name:MORNINGSTAR MIDWIFERY
Entity Type:Organization
Organization Name:MORNINGSTAR MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:GODDARD
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:207-322-6464
Mailing Address - Street 1:111 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6351
Mailing Address - Country:US
Mailing Address - Phone:207-338-0708
Mailing Address - Fax:207-805-6477
Practice Address - Street 1:111 HIGH ST
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6351
Practice Address - Country:US
Practice Address - Phone:207-338-0708
Practice Address - Fax:207-805-6477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty