=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831331149
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BIRTH DAY MIDWIFERY CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2009
-----------------------------------------------------
Last Update Date | 04/03/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 414 JOHN MAHAR HIGHWAY #113
-----------------------------------------------------
City | BRAINTREE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02184-6566
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-449-2490
-----------------------------------------------------
Fax | 781-449-2975
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 850702
-----------------------------------------------------
City | BRAINTREE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02185-9998
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-449-2490
-----------------------------------------------------
Fax | 781-449-2975
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MIDWIFE
-----------------------------------------------------
Name | NANCY R WAINER
-----------------------------------------------------
Credential | C.P.M.
-----------------------------------------------------
Telephone | 781-449-2490
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 176B00000X
-----------------------------------------------------
Taxonomy Name | Midwife
-----------------------------------------------------
License Number | 00100005
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------