Provider Demographics
NPI:1154342251
Name:WELLINGTON & HUNT ENTERPRISES LLC
Entity type:Organization
Organization Name:WELLINGTON & HUNT ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:A
Authorized Official - Last Name:REID
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:301-262-7746
Mailing Address - Street 1:6400 HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-1938
Mailing Address - Country:US
Mailing Address - Phone:301-262-7746
Mailing Address - Fax:301-809-9186
Practice Address - Street 1:4701 RANDOLPH RD STE G6
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2259
Practice Address - Country:US
Practice Address - Phone:301-262-7746
Practice Address - Fax:301-809-9186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4418OtherELDERHEALTH (HMO)
DCK988OtherBCBS OF DC
MD8200663OtherEVERCARE (HMO)
MD401COtherBCBS OF MD
MD401COtherBCBS OF MD
MD=========OtherTAX ID NUMBER