Gottlob, Charles A

Gottlob, Charles A is an individual health care provider with primary practice located at 660 Golden Ridge Rd Suite 250, Golden CO 80401-9541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Gottlob, Charles A can be contacted via phone (303) 233-1223.

Contact Information

Primary practice address
660 Golden Ridge Rd Suite 250 Golden CO 80401-9541
Fax: (303) 233-8755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34965 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 34965 Colorado

Profile Details

NPI number 1003878083
LBN Legal business name Gottlob, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 31st, 2017 - about 7 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 1003878083 NPPES
Colorado MEDICAID 77722272

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