Fuenzalida, Charles Ernest

Fuenzalida, Charles Ernest is an individual health care provider with primary practice located at 1444 S Potomac St Suite 300, Aurora CO 80012-4508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fuenzalida, Charles Ernest can be contacted via phone (303) 750-0822.

Contact Information

Primary practice address
1444 S Potomac St Suite 300 Aurora CO 80012-4508
Phone: (303) 750-0822
Fax: (303) 750-1298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 25164 Colorado
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25164 Colorado

Profile Details

NPI number 1730175688
LBN Legal business name Fuenzalida, Charles Ernest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 26th, 2022 - about 2 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 1730175688 NPPES
Nebraska MEDICAID 10026280600
Nebraska MEDICAID 10026280700
Nebraska MEDICAID 01251644
Nebraska MEDICAID 10026281200
Nebraska MEDICAID 100171260C
Nebraska MEDICAID 10026283100
Nebraska MEDICAID 10026280800
Nebraska MEDICAID 35476273
Nebraska Other 271395YN6L
Nebraska MEDICAID 10026281000
Nebraska MEDICAID 1730175688
Nebraska MEDICAID 1982948089

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