David Jason Ellenbogen in Charlotte - Primary Podiatric Medicine
David Jason Ellenbogen - NPI 1831222090
David Jason Ellenbogen is a Primary Podiatric Medicine in Charlotte, North Carolina. David Jason Ellenbogen practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for David Jason Ellenbogen is 1831222090. The last update date is 2023-02-14.
David Jason Ellenbogen's current location address is 10035 Park Cedar Dr Ste 100, Charlotte, North Carolina. You can contact this provider via phone number 7044429011 and fax number 7046259484. The mailing address for David Jason Ellenbogen is 10035 Park Cedar Dr Ste 100, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Jason Ellenbogen |
|---|---|
| Address | 10035 Park Cedar Dr Ste 100, Charlotte, North Carolina |
| Phone Number | 7044429011 |
| Fax Number | 7046259484 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1831222090 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2023-02-14 |
Provider Mailing Address Detail
| Address | 10035 Park Cedar Dr Ste 100 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282108910 |
| Phone Number | 7044429011 |
| Fax Number | 7046259484 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 615 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Jason Ellenbogen by the Centers for Medicare & Medicaid Services?
The David Jason Ellenbogen has been assigned the NPI (National Provider Identifier) 1831222090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where David Jason Ellenbogen is physically located?
The David Jason Ellenbogen is physically situated at the following address: 10035 Park Cedar Dr Ste 100, Charlotte, NC, 282108910.
What is David Jason Ellenbogen's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Jason Ellenbogen's area of specialization is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1831222090 to David Jason Ellenbogen?
The Centers for Medicare & Medicaid Services assigned the 1831222090 to David Jason Ellenbogen on 2007-03-14.
When was the information regarding David Jason Ellenbogen most recently updated?
The details pertaining to the David Jason Ellenbogen, including its address, specialty, and other relevant information, were last refreshed on 2023-02-14.
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