Provider Demographics
NPI:1689037335
Name:NATURAL CHILDBIRTH SERVICES
Entity Type:Organization
Organization Name:NATURAL CHILDBIRTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-591-5735
Mailing Address - Street 1:19480 EGRET PL
Mailing Address - Street 2:
Mailing Address - City:CALLAO.
Mailing Address - State:MO
Mailing Address - Zip Code:63534
Mailing Address - Country:US
Mailing Address - Phone:660-591-5735
Mailing Address - Fax:
Practice Address - Street 1:19480 EGRET PL
Practice Address - Street 2:
Practice Address - City:CALLAO.
Practice Address - State:MO
Practice Address - Zip Code:63534
Practice Address - Country:US
Practice Address - Phone:660-591-5735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty