Provider Demographics
NPI:1578950200
Name:REGULA, VIRGINIA KATE (DO)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:KATE
Last Name:REGULA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 MERCY DR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-2641
Mailing Address - Country:US
Mailing Address - Phone:330-499-7591
Mailing Address - Fax:
Practice Address - Street 1:MERCY PRIMARY CARE-NORTH CANTON
Practice Address - Street 2:1413 PORTAGE ST NW
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720
Practice Address - Country:US
Practice Address - Phone:330-499-7591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.013515207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine