Provider Demographics
NPI:1700114725
Name:SCHENKAR, DAVID LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LOUIS
Last Name:SCHENKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ORTHOPEDIC
Other - Middle Name:FORENSIC
Other - Last Name:SOLUTIONS,LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:110 E GULCH RD
Mailing Address - Street 2:
Mailing Address - City:HAILEY
Mailing Address - State:ID
Mailing Address - Zip Code:83333-8496
Mailing Address - Country:US
Mailing Address - Phone:208-788-9337
Mailing Address - Fax:208-788-8242
Practice Address - Street 1:110 E GULCH RD
Practice Address - Street 2:
Practice Address - City:HAILEY
Practice Address - State:ID
Practice Address - Zip Code:83333-8496
Practice Address - Country:US
Practice Address - Phone:208-788-9337
Practice Address - Fax:208-788-8242
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID8906207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery