Provider Demographics
NPI:1912470725
Name:NINE MONTHS BIRTH SERVICES, PC
Entity type:Organization
Organization Name:NINE MONTHS BIRTH SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:GROVES
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:209-597-2845
Mailing Address - Street 1:1706 LAHOLA CT
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95304-5932
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1706 LAHOLA CT
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95304-5932
Practice Address - Country:US
Practice Address - Phone:209-597-2845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty