Provider Demographics
NPI:1326212648
Name:FOUR ONES ENTERPRISES, LLC
Entity Type:Organization
Organization Name:FOUR ONES ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:G
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-728-5100
Mailing Address - Street 1:185 W MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-2305
Mailing Address - Country:US
Mailing Address - Phone:631-728-5100
Mailing Address - Fax:631-723-1709
Practice Address - Street 1:185 W MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-2305
Practice Address - Country:US
Practice Address - Phone:631-728-5100
Practice Address - Fax:631-723-1709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi