Healthcare Provider Details

I. General information

NPI: 1154342251
Provider Name (Legal Business Name): WELLINGTON & HUNT ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 RANDOLPH RD STE G6
ROCKVILLE MD
20852-2259
US

IV. Provider business mailing address

6400 HUNTINGTON AVE
NEWPORT NEWS VA
23607-1938
US

V. Phone/Fax

Practice location:
  • Phone: 301-262-7746
  • Fax: 301-809-9186
Mailing address:
  • Phone: 301-262-7746
  • Fax: 301-809-9186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MILTON A REID JR.
Title or Position: OWNER
Credential:
Phone: 301-262-7746