Provider Demographics
NPI:1033447164
Name:TROCAIRE MEDICAL LLC
Entity Type:Organization
Organization Name:TROCAIRE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JADE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-227-0562
Mailing Address - Street 1:11550 SHERIDAN BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020-3311
Mailing Address - Country:US
Mailing Address - Phone:720-227-0562
Mailing Address - Fax:720-306-3046
Practice Address - Street 1:11550 SHERIDAN BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80020-3311
Practice Address - Country:US
Practice Address - Phone:720-227-0562
Practice Address - Fax:720-306-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34891261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care