Provider Demographics
NPI:1124186887
Name:ERIC J. SCHENKEL,M.D. PC
Entity Type:Organization
Organization Name:ERIC J. SCHENKEL,M.D. PC
Other - Org Name:VALLEY ALLERGY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHENKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-954-9260
Mailing Address - Street 1:3101 EMRICK BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8037
Mailing Address - Country:US
Mailing Address - Phone:610-954-9260
Mailing Address - Fax:610-954-9265
Practice Address - Street 1:3101 EMRICK BLVD
Practice Address - Street 2:SUITE211
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMDO2O441E207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA122402Medicare PIN
PAB37158Medicare UPIN