Provider Demographics
NPI:1811136914
Name:BIRTHING WAYS- DOULA CONNECTION
Entity type:Organization
Organization Name:BIRTHING WAYS- DOULA CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARALEE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ISBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-269-3559
Mailing Address - Street 1:PO BOX 271
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55801-0271
Mailing Address - Country:US
Mailing Address - Phone:218-269-3559
Mailing Address - Fax:
Practice Address - Street 1:33 HOLLY LN
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55810-2015
Practice Address - Country:US
Practice Address - Phone:218-269-3559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies