Provider Demographics
NPI:1548987837
Name:SAHO, SOLOMON JR
Entity type:Individual
Prefix:
First Name:SOLOMON
Middle Name:
Last Name:SAHO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8949 AVEBURY DR APT L
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-3135
Mailing Address - Country:US
Mailing Address - Phone:919-841-3941
Mailing Address - Fax:
Practice Address - Street 1:8949 AVEBURY DR APT L
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-3135
Practice Address - Country:US
Practice Address - Phone:919-841-3941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC000033887959OtherID