Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 06656 | OH |
NPI | 1023016805 |
---|---|
Provider Name | Barbara Rose Van Kainen |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 03/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000224587 | ANTHEM (01) | OH |
05225 | PARAMOUNT (01) | OH |
1023016805 | (05) | MI |
2301048 | (05) | OH |
344428256 | BEECHSTREET (01) | OH |
344428256 | FRONTPATH (01) | OH |
344428256058 | CARESOURCE (01) | OH |
61486 | (02) | OH |