Provider Demographics
NPI:1609817444
Name:DTC FAMILY HEALTH AND WALK-IN L L C
Entity Type:Organization
Organization Name:DTC FAMILY HEALTH AND WALK-IN L L C
Other - Org Name:DTC FAMILY HEALTH PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:JOFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-771-3939
Mailing Address - Street 1:8301 E PRENTICE AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2989
Mailing Address - Country:US
Mailing Address - Phone:303-771-3939
Mailing Address - Fax:303-771-4949
Practice Address - Street 1:8301 E PRENTICE AVE STE 125
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2989
Practice Address - Country:US
Practice Address - Phone:303-771-3939
Practice Address - Fax:303-771-4949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35021207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01350214Medicaid
COE50137Medicare ID - Type UnspecifiedDR JOFFE MEDICARE
COG50751Medicare UPIN
CO137548Medicare ID - Type UnspecifiedDR GILCHRIST MEDICARE
CO01350214Medicaid
COE40392Medicare UPIN