Healthcare Provider Details

I. General information

NPI: 1821598145
Provider Name (Legal Business Name): SHIFRAH'S SISTERS HOLISTIC BIRTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 02/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 FORD FIELDS RD
MYERSVILLE MD
21773-8741
US

IV. Provider business mailing address

4705 FORD FIELDS RD
MYERSVILLE MD
21773-8741
US

V. Phone/Fax

Practice location:
  • Phone: 202-446-4400
  • Fax: 866-261-6147
Mailing address:
  • Phone: 202-446-4400
  • Fax: 866-261-6147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number00007
License Number StateMD

VIII. Authorized Official

Name: MRS. ELIZABETH S.K. REINER
Title or Position: OWNER
Credential: CPM
Phone: 202-446-4400