Provider Demographics
NPI:1053199596
Name:SCHELKOPH, TERRI ((CD) DONA)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:SCHELKOPH
Suffix:
Gender:F
Credentials:(CD) DONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18912 ORCHARD CT
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-9383
Mailing Address - Country:US
Mailing Address - Phone:612-501-7005
Mailing Address - Fax:
Practice Address - Street 1:18912 ORCHARD CT
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-9383
Practice Address - Country:US
Practice Address - Phone:612-501-7005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula