Provider Demographics
NPI:1588080402
Name:BIRTH INTO BEING
Entity type:Organization
Organization Name:BIRTH INTO BEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:DUNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM, RN
Authorized Official - Phone:803-498-4247
Mailing Address - Street 1:39 MCCARTY RD
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05658-8136
Mailing Address - Country:US
Mailing Address - Phone:802-441-4596
Mailing Address - Fax:802-552-0014
Practice Address - Street 1:39 MCCARTY RD
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:VT
Practice Address - Zip Code:05658-8136
Practice Address - Country:US
Practice Address - Phone:802-441-4596
Practice Address - Fax:802-552-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty