Provider Demographics
NPI:1932159571
Name:ERIC SCHOEPPNER MD PC
Entity type:Organization
Organization Name:ERIC SCHOEPPNER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOEPPNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-253-7211
Mailing Address - Street 1:1723 NORTHAMPTON STREET
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3100
Mailing Address - Country:US
Mailing Address - Phone:610-253-7211
Mailing Address - Fax:610-252-8685
Practice Address - Street 1:1723 NORTHAMPTON STREET
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3100
Practice Address - Country:US
Practice Address - Phone:610-253-7211
Practice Address - Fax:610-252-8685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056527L207R00000X
PAMD037433L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03020100OtherBC
PA0369324OtherBS
PA1514975OtherGATEWAY
PA016364Medicare PIN
PA1514975OtherGATEWAY