Provider Demographics
NPI:1699979997
Name:ENTERPRISES 101, INC.
Entity type:Organization
Organization Name:ENTERPRISES 101, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO, AUDIOPROSTHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:ROUSSO
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS, ACA
Authorized Official - Phone:334-213-0300
Mailing Address - Street 1:2800 ZELDA RD
Mailing Address - Street 2:SUITE 200-4
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-3700
Mailing Address - Country:US
Mailing Address - Phone:334-213-0300
Mailing Address - Fax:334-213-0303
Practice Address - Street 1:2800 ZELDA RD
Practice Address - Street 2:SUITE 200-4
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3700
Practice Address - Country:US
Practice Address - Phone:334-213-0300
Practice Address - Fax:334-213-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4037237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51507956OtherBLUE CROSS BLUE SHIELD
AL4037OtherBOARD OF HEARING AID DEAL