Provider Demographics
NPI:1700501574
Name:OUR BODIES OUR BIRTHS
Entity Type:Organization
Organization Name:OUR BODIES OUR BIRTHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FULL SPECTRUM DOULA
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:AKOSUA
Authorized Official - Last Name:CHIN-ON
Authorized Official - Suffix:
Authorized Official - Credentials:CO-FOUNDER
Authorized Official - Phone:732-309-5896
Mailing Address - Street 1:81 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3226
Mailing Address - Country:US
Mailing Address - Phone:732-309-5896
Mailing Address - Fax:
Practice Address - Street 1:81 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3226
Practice Address - Country:US
Practice Address - Phone:732-309-5896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1497493282Medicaid