Provider Demographics
NPI:1437997277
Name:ENGLBRECHT, JOSEPH (PA-C)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:ENGLBRECHT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:ENGLBRECHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:JOE ENGLBRECHT
Mailing Address - Street 1:5495 W 10TH AVE APT 346
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-2582
Mailing Address - Country:US
Mailing Address - Phone:970-424-4367
Mailing Address - Fax:
Practice Address - Street 1:5495 W 10TH AVE APT 346
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-2582
Practice Address - Country:US
Practice Address - Phone:970-424-4367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant