| Birth and Wellness Center LLC | |
|
769 W Terra Ln O Fallon MO 63366-2432 | |
| (314) 369-8637 | |
| (877) 533-4456 |
| Full Name | Birth and Wellness Center LLC |
|---|---|
| Speciality | Advanced Practice Midwife |
| Location | 769 W Terra Ln, O Fallon, Missouri |
| Authorized Official Name and Position | Jessica Henman (DIRECTOR) |
| Authorized Official Contact | 3143698637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birth and Wellness Center LLC 27880 Beverly Dr Wright City MO 63390-4449 Ph: (314) 369-8637 | Birth and Wellness Center LLC 769 W Terra Ln O Fallon MO 63366-2432 Ph: (314) 369-8637 |
| NPI Number | 1467701805 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 09/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467701805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 100863 (Missouri) | Secondary |
| 367A00000X | Advanced Practice Midwife | 2010015977 (Missouri) | Primary |
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