Provider Demographics
NPI:1538965231
Name:SCHENCK, EARL D
Entity type:Individual
Prefix:
First Name:EARL
Middle Name:D
Last Name:SCHENCK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700N MYOMA ST
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:NE
Mailing Address - Zip Code:68844-4444
Mailing Address - Country:US
Mailing Address - Phone:308-206-5567
Mailing Address - Fax:
Practice Address - Street 1:1709 W 39TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-8230
Practice Address - Country:US
Practice Address - Phone:308-234-6834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty