Healthcare Provider Details

I. General information

NPI: 1962680629
Provider Name (Legal Business Name): ROBERT F HABER DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 N CENTER ST
HICKORY NC
28601-3760
US

IV. Provider business mailing address

1208 N CENTER ST
HICKORY NC
28601-3760
US

V. Phone/Fax

Practice location:
  • Phone: 828-322-1391
  • Fax: 828-322-1392
Mailing address:
  • Phone: 828-322-1391
  • Fax: 828-322-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number246
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number246
License Number StateNC

VIII. Authorized Official

Name: PAULA S HABER
Title or Position: OFFICE MANAGER
Credential:
Phone: 828-322-1391