Provider Demographics
NPI:1811225212
Name:EQUALITY PAYEE SERVICES INC
Entity Type:Organization
Organization Name:EQUALITY PAYEE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KIMBRO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:414-375-4760
Mailing Address - Street 1:12605 W NORTH AVE # 307
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-4629
Mailing Address - Country:US
Mailing Address - Phone:414-375-4760
Mailing Address - Fax:877-293-3775
Practice Address - Street 1:12605 W NORTH AVE # 307
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-4629
Practice Address - Country:US
Practice Address - Phone:414-375-4760
Practice Address - Fax:877-293-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service