Provider Demographics
NPI:1174858476
Name:BIRTH KALAMAZOO
Entity Type:Organization
Organization Name:BIRTH KALAMAZOO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:CD(DONA), LCCE
Authorized Official - Phone:269-598-1488
Mailing Address - Street 1:3248 WICKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-6993
Mailing Address - Country:US
Mailing Address - Phone:269-598-1488
Mailing Address - Fax:
Practice Address - Street 1:3248 WICKSHIRE LN
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-6993
Practice Address - Country:US
Practice Address - Phone:269-598-1488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty