Provider Demographics
NPI:1558704155
Name:COMPLETE PROFESSIONAL OFFICE SERVICES INC.
Entity Type:Organization
Organization Name:COMPLETE PROFESSIONAL OFFICE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DOLZA
Authorized Official - Suffix:
Authorized Official - Credentials:CO'E
Authorized Official - Phone:810-629-6424
Mailing Address - Street 1:309 S WEST ST
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-2027
Mailing Address - Country:US
Mailing Address - Phone:810-629-6424
Mailing Address - Fax:810-629-6463
Practice Address - Street 1:309 S WEST ST
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-2027
Practice Address - Country:US
Practice Address - Phone:810-629-6424
Practice Address - Fax:810-629-6463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier