Provider Demographics
NPI:1336214741
Name:SINGH, TEJINDER (PA)
Entity Type:Individual
Prefix:MR
First Name:TEJINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ARKANSAS VALLEY CORRECTIONAL FACILITY
Mailing Address - Street 2:PO BOX 1000
Mailing Address - City:CROWLEY
Mailing Address - State:CO
Mailing Address - Zip Code:81034-0001
Mailing Address - Country:US
Mailing Address - Phone:719-267-5070
Mailing Address - Fax:719-267-5079
Practice Address - Street 1:ARKANSAS VALLEY CORRECTIONAL FACILITY
Practice Address - Street 2:12750 HIGHWAY 96 LANE 13
Practice Address - City:CROWLEY
Practice Address - State:CO
Practice Address - Zip Code:81034-0001
Practice Address - Country:US
Practice Address - Phone:719-267-5070
Practice Address - Fax:719-267-5079
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1410363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical