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Contact Information

TWO BEAR MIDWIFERY SERVICE, LLC
3550 AIRPORT WAY
STE. 4
FAIRBANKS, AK99709-4772
 Phone: 907-978-2868
 Fax: 907-488-6098
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for TWO BEAR MIDWIFERY SERVICE, LLC

NPI Number 1578952586
LBN Legal business name TWO BEAR MIDWIFERY SERVICE, LLC
Authorized official VANESSA JACKSON - (OWNER/ MIDWIFE)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2015
Last updated 01/14/2015 - About 11 years ago
Identifiers
AK License # 42
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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