Healthcare Provider Details

I. General information

NPI: 1902975659
Provider Name (Legal Business Name): THE BIRTH CENTER HOLISTIC WOMEN'S HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 W 7TH ST
WILMINGTON DE
19805-3110
US

IV. Provider business mailing address

1508 W 7TH ST
WILMINGTON DE
19805-3110
US

V. Phone/Fax

Practice location:
  • Phone: 302-658-2229
  • Fax: 302-658-2382
Mailing address:
  • Phone: 302-658-2229
  • Fax: 302-658-2382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: MRS. DORINDA FAYE DOVE
Title or Position: CERIFIED MIDWIFE, CO-OWNER
Credential: CNM
Phone: 302-658-2229