Provider Demographics
NPI:1629480678
Name:GILL, BALJINDER SINGH (DC)
Entity Type:Individual
Prefix:DR
First Name:BALJINDER
Middle Name:SINGH
Last Name:GILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9528 STATE AVE
Mailing Address - Street 2:STE B
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-2279
Mailing Address - Country:US
Mailing Address - Phone:425-299-5812
Mailing Address - Fax:
Practice Address - Street 1:10620 NE 8TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4380
Practice Address - Country:US
Practice Address - Phone:425-999-9633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60473781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor