Healthcare Provider Details
I. General information
NPI: 1063896827
Provider Name (Legal Business Name): PROAXIS EMPLOYMENT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2015
Last Update Date: 01/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
999 18TH ST STE. 250
DENVER CO
80202-2499
US
IV. Provider business mailing address
790 REMINGTON BLVD
BOLINGBROOK IL
60440-4909
US
V. Phone/Fax
- Phone: 303-295-1403
- Fax:
- Phone: 630-296-2223
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LYNN
MCGIVERN
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 630-296-2222