Schackow, T. Eric

Schackow, T. Eric is an individual health care provider with primary practice located at 435 South St Ste 220 , Morristown NJ 07960-6422. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Clinical Informatics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Schackow, T. Eric can be contacted via phone (973) 971-4222.

Contact Information

Primary practice address
435 South St Ste 220 Morristown NJ 07960-6422
Phone: (973) 971-4222
Fax: (973) 290-7050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 209615 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA13026500 New Jersey
Allopathic & Osteopathic Physicians / Clinical Informatics 2083C0008X 25MA13026500 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD456820 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036099827 Illinois

Profile Details

NPI number 1467435115
LBN Legal business name Schackow, T. Eric
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jun 22nd, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467435115 NPPES
New York MEDICAID 01805614
New York MEDICAID 036099827
New York MEDICAID 1031143200001

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