Provider Demographics
NPI:1669673414
Name:SCHOEFF, JONATHAN ERIC (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:ERIC
Last Name:SCHOEFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 632290
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80163
Mailing Address - Country:US
Mailing Address - Phone:303-841-2660
Mailing Address - Fax:303-841-2966
Practice Address - Street 1:10103 RIDGE GATE PKWY
Practice Address - Street 2:SUITE 207
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124
Practice Address - Country:US
Practice Address - Phone:303-841-2660
Practice Address - Fax:303-841-2966
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110700208600000X
CO52894208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery