Healthcare Provider Details

I. General information

NPI: 1386604056
Provider Name (Legal Business Name): ERIC RICHARD SCHENK D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VA CTR
AUGUSTA ME
04330-6795
US

IV. Provider business mailing address

1 VA CTR
AUGUSTA ME
04330-6795
US

V. Phone/Fax

Practice location:
  • Phone: 207-623-8411
  • Fax: 207-626-4787
Mailing address:
  • Phone: 207-623-8411
  • Fax: 207-626-4787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1871
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: