Provider Demographics
NPI:1942052121
Name:NIJJAR, KULVIR SINGH (DC)
Entity Type:Individual
Prefix:DR
First Name:KULVIR
Middle Name:SINGH
Last Name:NIJJAR
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 1:8495 MCGRAY WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-4121
Mailing Address - Country:US
Mailing Address - Phone:916-947-2174
Mailing Address - Fax:
Practice Address - Street 1:9186 HARBOUR POINT DR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7161
Practice Address - Country:US
Practice Address - Phone:916-895-4167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36395111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor