Ellenbogen, David Jason

Ellenbogen, David Jason is an individual health care provider with primary practice located at 10035 Park Cedar Dr Ste 100 , Charlotte NC 28210-8910. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Ellenbogen, David Jason can be contacted via phone (704) 442-9011.

Contact Information

Primary practice address
10035 Park Cedar Dr Ste 100 Charlotte NC 28210-8910
Phone: (704) 442-9011
Fax: (704) 625-9484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 615 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 615 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 615 North Carolina

Profile Details

NPI number 1831222090
LBN Legal business name Ellenbogen, David Jason
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Feb 14th, 2023 - about last year

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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