Provider Demographics
NPI:1033186044
Name:HUNKELE, ERIC C (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:C
Last Name:HUNKELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 449
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0449
Mailing Address - Country:US
Mailing Address - Phone:740-374-4500
Mailing Address - Fax:740-374-5887
Practice Address - Street 1:330 E 8TH ST
Practice Address - Street 2:SUITE 151
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3383
Practice Address - Country:US
Practice Address - Phone:740-374-4945
Practice Address - Fax:740-374-4943
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-08-1151207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0054873000Medicaid
OH2413301Medicaid
OH000000699787OtherANTHEM
OH2413301Medicaid
OH000000699787OtherANTHEM
WV0054873000Medicaid
OH4088624Medicare PIN
OH4088623Medicare PIN
OH4088622Medicare PIN