Provider Demographics
NPI:1881880771
Name:SCHEIN, REBECCA
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:SCHEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 SERVICE RD STE A109B
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-884-8600
Mailing Address - Fax:517-884-8650
Practice Address - Street 1:4660 S HAGADORN RD STE 405
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6819
Practice Address - Country:US
Practice Address - Phone:517-884-8600
Practice Address - Fax:517-884-8650
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011067072080P0208X
OH35.0978872080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1881880771Medicaid
MI0C36092294Medicare PIN