Healthcare Provider Details

I. General information

NPI: 1104423755
Provider Name (Legal Business Name): LOU JOSEPH SCHNEGGENBURGER PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2020
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 PURCELL ST
BRIGHTON CO
80601-3551
US

IV. Provider business mailing address

2901 PURCELL ST
BRIGHTON CO
80601-3550
US

V. Phone/Fax

Practice location:
  • Phone: 303-659-7600
  • Fax: 720-336-3989
Mailing address:
  • Phone: 303-659-7600
  • Fax: 720-336-3989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9113575
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: