Provider Demographics
NPI:1679166979
Name:EARTH WOMBMAN, LLC
Entity type:Organization
Organization Name:EARTH WOMBMAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED DOULA
Authorized Official - Prefix:
Authorized Official - First Name:SLOANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALKEY
Authorized Official - Suffix:
Authorized Official - Credentials:CD
Authorized Official - Phone:202-860-7609
Mailing Address - Street 1:1912 E ST NE APT B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4752
Mailing Address - Country:US
Mailing Address - Phone:202-860-7609
Mailing Address - Fax:
Practice Address - Street 1:1912 E ST NE APT B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4752
Practice Address - Country:US
Practice Address - Phone:202-860-7609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty