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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417914540 NPPES
Illinois MEDICAID 03611509

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