Provider Demographics
NPI:1306958939
Name:SCHENKEL, ERIC JONATHAN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JONATHAN
Last Name:SCHENKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2056
Mailing Address - Street 2:
Mailing Address - City:SKYLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28776-2056
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:3101 EMRICK BLVD
Practice Address - Street 2:STE 211
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8037
Practice Address - Country:US
Practice Address - Phone:610-954-9260
Practice Address - Fax:610-954-9265
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020441E207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA120027TYAOtherMEDICARE PTAN
PA122402Medicare PIN