Provider Demographics
NPI:1144420688
Name:REGINA CAPELLI-SCHEIDT M.D,S.C
Entity Type:Organization
Organization Name:REGINA CAPELLI-SCHEIDT M.D,S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CAPELLI-SCHEIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:262-658-8862
Mailing Address - Street 1:3601 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53144-1695
Mailing Address - Country:US
Mailing Address - Phone:262-658-8862
Mailing Address - Fax:262-658-8874
Practice Address - Street 1:3601 30TH AVE
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53144-1695
Practice Address - Country:US
Practice Address - Phone:262-658-8862
Practice Address - Fax:262-658-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty