MEDICARE: JEREMY FRANCIS MCELROY DIPL.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	580	CO

General Provider Information

NPI Number	:	1003089095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY FRANCIS MCELROY DIPL.AC.

Provider Business Mailing Address
First Line	:	17465 E JARVIS PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80013-3023
Country	:	US
Telephone Number	:	720-329-4461
Fax Number	:	303-750-0579

Provider Business Practice Location Address
First Line	:	2220 S FRASER ST UNIT 1
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-4508
Country	:	US
Telephone Number	:	720-329-4461
Fax Number	:	303-750-0579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	04/10/2008

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