Individual
JILL TRACEY SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DRIVE, SUITE 1500, HUNTINGTON, WV 25701-3657
(304) 691-1100
(304) 691-1153
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-6381
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
A87051
CA
207Q00000X
Family Medicine Physician
04-49107
KS
207Q00000X
Family Medicine Physician
Primary
33726
WV
207Q00000X
Family Medicine Physician
64183-20
WI
207Q00000X
Family Medicine Physician
A87051
CA
207Q00000X
Family Medicine Physician
DR-50806
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A870510
—
CA
01
—
240000
OMAP
OR
05
—
719834
—
AZ
01
—
P00168917
RAILROAD MEDICARE
CA
Enumeration date
08/10/2006
Last updated
08/23/2024
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