Provider Demographics
NPI:1194773556
Name:CHAPKO, CELESTE M (MED, MT-BC, DOULA)
Entity type:Individual
Prefix:MRS
First Name:CELESTE
Middle Name:M
Last Name:CHAPKO
Suffix:
Gender:F
Credentials:MED, MT-BC, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W 127TH PL
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7968
Mailing Address - Country:US
Mailing Address - Phone:219-742-4149
Mailing Address - Fax:
Practice Address - Street 1:321 W 127TH PL
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-7968
Practice Address - Country:US
Practice Address - Phone:219-742-4149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2014-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INCERT07357225A00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist