Provider Demographics
NPI: | 1851134019 |
---|---|
Name: | DOULA CO. MKE LLC |
Entity type: | Organization |
Organization Name: | DOULA CO. MKE LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | JOAN |
Authorized Official - Middle Name: | LEIGH |
Authorized Official - Last Name: | CHMIEL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | P&ICD |
Authorized Official - Phone: | 414-416-7519 |
Mailing Address - Street 1: | 2901 S WENTWORTH AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | MILWAUKEE |
Mailing Address - State: | WI |
Mailing Address - Zip Code: | 53207-2511 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 414-416-7519 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2901 S WENTWORTH AVE |
Practice Address - Street 2: | |
Practice Address - City: | MILWAUKEE |
Practice Address - State: | WI |
Practice Address - Zip Code: | 53207-2511 |
Practice Address - Country: | US |
Practice Address - Phone: | 414-416-7519 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-06-17 |
Last Update Date: | 2025-05-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 374J00000X | Nursing Service Related Providers | Doula | Group - Multi-Specialty | |
No | 174N00000X | Other Service Providers | Lactation Consultant, Non-RN | Group - Multi-Specialty |