Provider Demographics
NPI:1003089095
Name:MCELROY, JEREMY FRANCIS (DIPLAC)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:FRANCIS
Last Name:MCELROY
Suffix:
Gender:M
Credentials:DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17465 E JARVIS PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3023
Mailing Address - Country:US
Mailing Address - Phone:720-329-4461
Mailing Address - Fax:303-750-0579
Practice Address - Street 1:2220 S FRASER ST UNIT 1
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4508
Practice Address - Country:US
Practice Address - Phone:720-329-4461
Practice Address - Fax:303-750-0579
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO580171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist