Provider Demographics
NPI:1457494973
Name:DIANE M. SCHAUB BIRTH COTTAGE
Entity Type:Organization
Organization Name:DIANE M. SCHAUB BIRTH COTTAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHAUB
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:775-323-4956
Mailing Address - Street 1:1724 C ST
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-4874
Mailing Address - Country:US
Mailing Address - Phone:775-323-4956
Mailing Address - Fax:775-323-4956
Practice Address - Street 1:1724 C ST
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4874
Practice Address - Country:US
Practice Address - Phone:775-323-4956
Practice Address - Fax:775-323-4956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM0037261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing