Provider Demographics
NPI:1962844480
Name:CAPPEL, CLAIRE ELEANORE (DO)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ELEANORE
Last Name:CAPPEL
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 1:4266 UPHAM RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429-1620
Mailing Address - Country:US
Mailing Address - Phone:937-298-5721
Mailing Address - Fax:
Practice Address - Street 1:4266 UPHAM RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-1620
Practice Address - Country:US
Practice Address - Phone:937-298-5721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH006574207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine