Paddack, Charles

Paddack, Charles is an individual health care provider with primary practice located at 2848 S Lakeridge Trl , Boulder CO 80302-9374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Paddack, Charles can be contacted via phone (720) 519-0949.

Contact Information

Primary practice address
2848 S Lakeridge Trl Boulder CO 80302-9374
Phone: (720) 519-0949
Fax: (720) 519-0948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 46807 Colorado

Profile Details

NPI number 1205980745
LBN Legal business name Paddack, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 15th, 2021 - about 4 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 1205980745 NPPES
Maryland MEDICAID 788111800

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