Provider Demographics
NPI:1326465956
Name:BREASTFEEDING SPECIALISTS INC #1
Entity Type:Organization
Organization Name:BREASTFEEDING SPECIALISTS INC #1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:NORTON-KRAWCIW
Authorized Official - Suffix:
Authorized Official - Credentials:RPH,IBCLC,RLC
Authorized Official - Phone:586-939-8378
Mailing Address - Street 1:34143 PRESTON DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-5654
Mailing Address - Country:US
Mailing Address - Phone:586-939-8378
Mailing Address - Fax:586-838-5366
Practice Address - Street 1:34143 PRESTON DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-5654
Practice Address - Country:US
Practice Address - Phone:586-939-8378
Practice Address - Fax:586-838-5366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025134332B00000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment