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Contact Information

FOOTPRINTS IN TIME MIDWIFERY SERVICES LLC
502 MAIN ST
BLACK RIVER FALLS, WI54615-1648
 Phone: 715-284-2003
 Fax: 844-285-4399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Birthing

261QB0400X
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for FOOTPRINTS IN TIME MIDWIFERY SERVICES LLC

NPI Number 1437438157
LBN Legal business name FOOTPRINTS IN TIME MIDWIFERY SERVICES LLC
Authorized official REBECCA AMBERG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2011
Last updated 03/07/2023 - About 3 years ago
Identifiers
WI Other 1689608010 PATRICIA JACOBSON NPI
WI Other 147290-30 REBECCA (BECKY) REGISTERED NURSE
WI Other 992-33 WI APNP LICENSE
WI Other 63651-30 WI RN LICENSE
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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