Provider Demographics
NPI:1396631081
Name:IGI OSE - TRADITIONAL BIRTH SERVICES LLC
Entity type:Organization
Organization Name:IGI OSE - TRADITIONAL BIRTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:A
Authorized Official - Last Name:EISENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:CM
Authorized Official - Phone:412-449-9459
Mailing Address - Street 1:115 E MCINTYRE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15214-3429
Mailing Address - Country:US
Mailing Address - Phone:412-449-9459
Mailing Address - Fax:
Practice Address - Street 1:115 E MCINTYRE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15214-3429
Practice Address - Country:US
Practice Address - Phone:412-449-9459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175M00000XOther Service ProvidersMidwife, LayGroup - Multi-Specialty