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Contact Information

DAVID J ELLENBOGEN, DPM
10035 PARK CEDAR DR STE 100
CHARLOTTE, NC28210-8910
 Phone: 704-442-9011
 Fax: 704-625-9484
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID J ELLENBOGEN · (Male)

NPI Number 1831222090
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/14/2007
Last updated 02/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 615
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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