Provider Demographics
NPI:1992013817
Name:WATER AND SPIRIT MIDWIFERY LLC
Entity Type:Organization
Organization Name:WATER AND SPIRIT MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SORA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-432-8703
Mailing Address - Street 1:7588 CENTRAL PARKE BLVD
Mailing Address - Street 2:SUITE 324
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6857
Mailing Address - Country:US
Mailing Address - Phone:513-432-8703
Mailing Address - Fax:
Practice Address - Street 1:7588 CENTRAL PARKE BLVD
Practice Address - Street 2:SUITE 324
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-6857
Practice Address - Country:US
Practice Address - Phone:513-432-8703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty