Healthcare Provider Details

I. General information

NPI: 1578327128
Provider Name (Legal Business Name): SOL MIDWIFERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8202 CLEARVISTA PKWY STE 8B
INDIANAPOLIS IN
46256-1456
US

IV. Provider business mailing address

8202 CLEARVISTA PKWY STE 8B
INDIANAPOLIS IN
46256-1456
US

V. Phone/Fax

Practice location:
  • Phone: 317-436-8306
  • Fax:
Mailing address:
  • Phone: 317-436-8306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARISOL HOLMAM
Title or Position: OWNER, MIDWIFE
Credential: CPM-CDEM
Phone: 317-436-8306