Provider Demographics
NPI:1114527173
Name:PROFESSIONAL EMPLOYEE SERVICES
Entity Type:Organization
Organization Name:PROFESSIONAL EMPLOYEE SERVICES
Other - Org Name:DISABILITY BENEFIT ADVOCATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:PROF
Authorized Official - First Name:BRENDON
Authorized Official - Middle Name:T
Authorized Official - Last Name:CASSITY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-920-2020
Mailing Address - Street 1:114 W WINCHESTER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-7710
Mailing Address - Country:US
Mailing Address - Phone:239-920-2020
Mailing Address - Fax:
Practice Address - Street 1:114 W WINCHESTER ST STE 200
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7710
Practice Address - Country:US
Practice Address - Phone:239-920-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No251V00000XAgenciesVoluntary or Charitable
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle