=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700443033
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAYROLL & ACCOUNTING SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2019
-----------------------------------------------------
Last Update Date | 05/22/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20600 EUREKA RD STE 220
-----------------------------------------------------
City | TAYLOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48180-6337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-250-7856
-----------------------------------------------------
Fax | 734-729-3184
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20600 EUREKA RD STE 220
-----------------------------------------------------
City | TAYLOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48180-6337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-250-7856
-----------------------------------------------------
Fax | 734-729-3184
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | PATTI A SIELAFF
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 734-250-7856
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171W00000X
-----------------------------------------------------
Taxonomy Name | Contractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------