Healthcare Provider Details

I. General information

NPI: 1538749700
Provider Name (Legal Business Name): 3E ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 GROSSCUP AVE
DUNBAR WV
25064-3024
US

IV. Provider business mailing address

1214 GROSSCUP AVE
DUNBAR WV
25064-3024
US

V. Phone/Fax

Practice location:
  • Phone: 304-881-7141
  • Fax: 681-317-7590
Mailing address:
  • Phone: 304-881-7141
  • Fax: 681-317-7590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name: CHESTER ARTHUR BURDETTE
Title or Position: OWNER
Credential: CPO
Phone: 304-881-7141