Individual
BENJAMIN CHARLES SCHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
255 UNION BLVD, 300, LAKEWOOD, CO 80228-1810
(303) 986-9583
Mailing address
11790 W 29TH PL, LAKEWOOD, CO 80215-7095
(303) 232-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35468
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1862349
UNITED
CO
01
—
5567621
AETNA
CO
01
—
615385
ANTHEM BC/BS
CO
Enumeration date
02/06/2006
Last updated
05/25/2011
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