Provider Demographics
NPI:1952613317
Name:SCHOENEFELD, EVE NOEL (PA)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:NOEL
Last Name:SCHOENEFELD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:EVE
Other - Middle Name:NOEL
Other - Last Name:TURKINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:933 SELL AVE
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-4929
Mailing Address - Country:US
Mailing Address - Phone:719-285-2646
Mailing Address - Fax:719-285-2647
Practice Address - Street 1:933 SELL AVE
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-4929
Practice Address - Country:US
Practice Address - Phone:719-285-2646
Practice Address - Fax:719-285-2647
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0004225363A00000X
LAEXAM PERMIT #721363A00000X
WAPA61014533363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO70500363Medicaid