Provider Demographics
NPI:1891118899
Name:SHIPHRAH BIRTHING SERVICES
Entity type:Organization
Organization Name:SHIPHRAH BIRTHING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SELLERS
Authorized Official - Suffix:
Authorized Official - Credentials:DEM
Authorized Official - Phone:410-227-6174
Mailing Address - Street 1:617 STEMMERS RUN RD STE E
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-3361
Mailing Address - Country:US
Mailing Address - Phone:410-227-6174
Mailing Address - Fax:
Practice Address - Street 1:617 STEMMERS RUN RD STE E
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221
Practice Address - Country:US
Practice Address - Phone:410-227-6174
Practice Address - Fax:863-638-8015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty