Healthcare Provider Details
I. General information
NPI: 1457104598
Provider Name (Legal Business Name): XO ARMOR TECHNOLOGIES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2024
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
540 DEVALL DR
AUBURN AL
36832-5986
US
IV. Provider business mailing address
540 DEVALL DR
AUBURN AL
36832-5986
US
V. Phone/Fax
- Phone: 334-329-0777
- Fax:
- Phone: 334-329-0777
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
BINGOLD
Title or Position: OWNER
Credential:
Phone: 334-329-0777