Provider Demographics
NPI:1720754773
Name:BADGER, ABIGAIL (CPM, LM)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:BADGER
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 E MAIN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9143
Mailing Address - Country:US
Mailing Address - Phone:614-906-7927
Mailing Address - Fax:
Practice Address - Street 1:142 E MAIN ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-9143
Practice Address - Country:US
Practice Address - Phone:614-906-7927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-19
Last Update Date:2022-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife