Provider Demographics
NPI:1093306185
Name:1441, INC
Entity Type:Organization
Organization Name:1441, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGER
Authorized Official - Prefix:
Authorized Official - First Name:DONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:CCMA, CPT, CMT
Authorized Official - Phone:240-486-7284
Mailing Address - Street 1:3904 BYERS ST
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-5720
Mailing Address - Country:US
Mailing Address - Phone:202-597-7722
Mailing Address - Fax:202-403-3512
Practice Address - Street 1:3904 BYERS ST
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-5720
Practice Address - Country:US
Practice Address - Phone:202-597-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service