Provider Demographics
NPI:1366506149
Name:SCHINDLER, ERIC HALL (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:HALL
Last Name:SCHINDLER
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 1:10 BENNING ST., SUITE 160-196
Mailing Address - Street 2:
Mailing Address - City:WEST LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03784
Mailing Address - Country:US
Mailing Address - Phone:603-727-6853
Mailing Address - Fax:888-275-7390
Practice Address - Street 1:20 W PARK ST STE 214
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-6309
Practice Address - Country:US
Practice Address - Phone:603-727-6853
Practice Address - Fax:888-275-7390
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA515522084P0800X, 2084P0805X, 208D00000X
WA607953042084P0800X
AK69302084P0800X, 2084P0805X, 208D00000X
NH180052084P0805X, 208D00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF72208Medicare UPIN