Provider Demographics
NPI:1053882688
Name:INJURY CARE ASSOCIATES THORNTON, LLC
Entity type:Organization
Organization Name:INJURY CARE ASSOCIATES THORNTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:DE MOOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-531-4144
Mailing Address - Street 1:2490 W 26TH AVE STE 5A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5300
Mailing Address - Country:US
Mailing Address - Phone:303-531-4144
Mailing Address - Fax:303-531-4145
Practice Address - Street 1:9351 GRANT ST STE 600
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4373
Practice Address - Country:US
Practice Address - Phone:303-531-4144
Practice Address - Fax:303-531-4145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine