Ellenbogen, Charlotte L
Ellenbogen, Charlotte L is an individual health care provider with primary practice located at 3885 Upham St Suite 200, Wheat Ridge CO 80033-4880. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Ellenbogen, Charlotte L can be contacted via phone (303) 425-9245.Contact Information
Primary practice address
3885 Upham St Suite 200
Wheat Ridge CO 80033-4880
Phone: (303) 425-9245
Fax: (303) 425-1378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 53322 | Colorado |
Profile Details
| NPI number | 1417914540 |
|---|---|
| LBN Legal business name | Ellenbogen, Charlotte L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Feb 10th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417914540 | NPPES |
| Illinois | MEDICAID | 03611509 |
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