Provider Demographics
NPI:1740607720
Name:UNIFOUR ONE
Entity Type:Organization
Organization Name:UNIFOUR ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-541-8669
Mailing Address - Street 1:1400 BATTLEGROUND AVE STE 144E
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-8029
Mailing Address - Country:US
Mailing Address - Phone:336-541-8669
Mailing Address - Fax:
Practice Address - Street 1:1400 BATTLEGROUND AVE STE 144E
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-8029
Practice Address - Country:US
Practice Address - Phone:336-541-8669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management