Healthcare Provider Details

I. General information

NPI: 1467377663
Provider Name (Legal Business Name): TREVOR PAUL JONES QBHA/CPFS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5628 S IRELAND WAY
CENTENNIAL CO
80015-3646
US

IV. Provider business mailing address

5628 S IRELAND WAY
CENTENNIAL CO
80015-3646
US

V. Phone/Fax

Practice location:
  • Phone: 720-545-7433
  • Fax:
Mailing address:
  • Phone: 720-545-7433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: