Healthcare Provider Details

I. General information

NPI: 1558310433
Provider Name (Legal Business Name): SAEBO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 05/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 WATER RIDGE PKWY STE 100
CHARLOTTE NC
28217-4596
US

IV. Provider business mailing address

2709 WATER RIDGE PKWY STE 100
CHARLOTTE NC
28217-4596
US

V. Phone/Fax

Practice location:
  • Phone: 704-831-5050
  • Fax: 704-831-5072
Mailing address:
  • Phone: 888-284-5433
  • Fax: 855-414-0037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: HENRY BERNARD HOFFMAN, JR
Title or Position: PRESIDENT
Credential:
Phone: 704-831-5050