Provider Demographics
NPI:1356077713
Name:EZER BIRTH COLLECTIVE
Entity Type:Organization
Organization Name:EZER BIRTH COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-283-0990
Mailing Address - Street 1:80 CACTUS ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-1355
Mailing Address - Country:US
Mailing Address - Phone:508-283-0990
Mailing Address - Fax:
Practice Address - Street 1:80 CACTUS ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-1355
Practice Address - Country:US
Practice Address - Phone:508-283-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty