Healthcare Provider Details

I. General information

NPI: 1457216939
Provider Name (Legal Business Name): MADELINE SUSAN HELMICH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S CHURCH ST
SPRING CITY PA
19475-1892
US

IV. Provider business mailing address

104 S CHURCH ST
SPRING CITY PA
19475-1892
US

V. Phone/Fax

Practice location:
  • Phone: 267-864-8233
  • Fax:
Mailing address:
  • Phone: 267-864-8233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN732386
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: