Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | OS002198L | PA |
N | 207QA0505X | Family Doctor - Adult Medicine | OS002198L | PA |
Y | 207R00000X | Internist | OS002198L | PA |
Y | 111NI0900X | Internist | OS002198L | PA |
NPI | 1316983034 |
---|---|
Provider Name | Dr. Arthur Cyril Schenck |
First Address | Erie, PA 16505-4021 |
Second Address | Erie, PA 16505-4021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 09/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006467190005 | (05) | PA |
B34200 | (02) | PA |