Capello, Robert
Capello, Robert is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Capello, Robert can be contacted via phone (920) 288-8000.Contact Information
Primary practice address
2845 Greenbrier Rd
Green Bay WI 54311-6519
Phone: (920) 288-8000
Fax: (920) 405-5388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085003171 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 085-003171 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085003171 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.004410 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2189 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3036 | Wisconsin |
Profile Details
| NPI number | 1184721656 |
|---|---|
| LBN Legal business name | Capello, Robert |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Mar 22nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184721656 | NPPES |
| Wisconsin | MEDICAID | 1184721656 | |
| Wisconsin | MEDICAID | 71460 | |
| Wisconsin | MEDICAID | 0145029 |
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