Provider Demographics
NPI:1053186296
Name:BLACK AND INDIGENOUS BIRTHWORKERS OF DE
Entity type:Organization
Organization Name:BLACK AND INDIGENOUS BIRTHWORKERS OF DE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:CD, CHW
Authorized Official - Phone:302-518-0427
Mailing Address - Street 1:19 COURTYARD LN APT 1
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-1475
Mailing Address - Country:US
Mailing Address - Phone:302-518-0427
Mailing Address - Fax:
Practice Address - Street 1:31 W 31 STREET
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802
Practice Address - Country:US
Practice Address - Phone:302-518-0427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty