Provider Demographics
NPI:1689116857
Name:SYMMETRIA INTEGRATIVE MEDICAL
Entity Type:Organization
Organization Name:SYMMETRIA INTEGRATIVE MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BALJINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-299-5812
Mailing Address - Street 1:9528 STATE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-2279
Mailing Address - Country:US
Mailing Address - Phone:360-659-6554
Mailing Address - Fax:360-653-4882
Practice Address - Street 1:9528 STATE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-2279
Practice Address - Country:US
Practice Address - Phone:360-659-6554
Practice Address - Fax:360-653-4882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208D00000X
WACH60473781111N00000X
WAAP30002175363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty