Provider Demographics
NPI:1083841894
Name:SCHANKE, ERIC ROLAND (LAC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:ROLAND
Last Name:SCHANKE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2142 PLACER LN
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-5317
Mailing Address - Country:US
Mailing Address - Phone:530-403-6386
Mailing Address - Fax:
Practice Address - Street 1:2142 PLACER LN
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-5317
Practice Address - Country:US
Practice Address - Phone:530-403-6386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5898171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist