Healthcare Provider Details

I. General information

NPI: 1548335797
Provider Name (Legal Business Name): SENTARA ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6623 RICHMOND RD SUITE J
WILLIAMSBURG VA
23188-7589
US

IV. Provider business mailing address

535 INDEPENDENCE PKWY SUITE 200
CHESAPEAKE VA
23320-5176
US

V. Phone/Fax

Practice location:
  • Phone: 757-984-7600
  • Fax: 757-984-7601
Mailing address:
  • Phone: 757-553-3312
  • Fax: 757-382-4957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LINDA R HUFFER
Title or Position: PRESIDENT, SENTARA ENTERPRISES
Credential:
Phone: 757-553-3000