Provider Demographics
NPI:1063647170
Name:SINGH, BALJINDER (LVN)
Entity Type:Individual
Prefix:
First Name:BALJINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:781 FLETCHER LN APT 314
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-1044
Mailing Address - Country:US
Mailing Address - Phone:510-325-8789
Mailing Address - Fax:
Practice Address - Street 1:781 FLETCHER LN APT 314
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-1044
Practice Address - Country:US
Practice Address - Phone:510-325-8789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN-239928164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse