Healthcare Provider Details

I. General information

NPI: 1366506149
Provider Name (Legal Business Name): ERIC HALL SCHINDLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 11/28/2024
Certification Date: 11/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W PARK ST STE 214
LEBANON NH
03766-6309
US

IV. Provider business mailing address

10 BENNING ST., SUITE 160-196
WEST LEBANON NH
03784
US

V. Phone/Fax

Practice location:
  • Phone: 603-727-6853
  • Fax: 888-275-7390
Mailing address:
  • Phone: 760-318-5169
  • Fax: 888-275-7390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number6930
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number18005
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number6930
License Number StateAK
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number6930
License Number StateAK
# 5
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number18005
License Number StateNH
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number18005
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: