Provider Demographics
NPI:1255533626
Name:CORPORATE PROTECTIVE SERVICES, INC
Entity type:Organization
Organization Name:CORPORATE PROTECTIVE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:THAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-635-7473
Mailing Address - Street 1:1705 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-5027
Mailing Address - Country:US
Mailing Address - Phone:307-635-7473
Mailing Address - Fax:307-638-4809
Practice Address - Street 1:1705 ALBANY AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-5027
Practice Address - Country:US
Practice Address - Phone:307-635-7473
Practice Address - Fax:307-638-4809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies