Provider Demographics
NPI:1306137617
Name:APS PAYROLL SERVICE INC
Entity type:Organization
Organization Name:APS PAYROLL SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-835-9580
Mailing Address - Street 1:5837 HYLAND COURTS DRIVE
Mailing Address - Street 2:#200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1934
Mailing Address - Country:US
Mailing Address - Phone:952-835-9580
Mailing Address - Fax:952-835-9576
Practice Address - Street 1:5837 HYLAND COURTS DRIVE
Practice Address - Street 2:#200
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55437-1934
Practice Address - Country:US
Practice Address - Phone:952-835-9580
Practice Address - Fax:952-835-9576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN171WV0202X, 172A00000X, 347C00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle