Healthcare Provider Details

I. General information

NPI: 1083388698
Provider Name (Legal Business Name): LOEHR FAMILY BIRTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 08/06/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2144 E REPUBLIC RD STE A104
SPRINGFIELD MO
65804-4645
US

IV. Provider business mailing address

2144 E REPUBLIC RD STE A104
SPRINGFIELD MO
65804-4645
US

V. Phone/Fax

Practice location:
  • Phone: 417-887-8075
  • Fax: 417-887-8535
Mailing address:
  • Phone: 417-887-8075
  • Fax: 417-887-8535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN D LOEHR
Title or Position: MEMBER
Credential: D.C.
Phone: 417-887-8075