Provider Demographics
NPI:1477270023
Name:BRAR, NAVDEEP SINGH (DC)
Entity type:Individual
Prefix:DR
First Name:NAVDEEP
Middle Name:SINGH
Last Name:BRAR
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 1:32 W 1700 S UNIT A13
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-2390
Mailing Address - Country:US
Mailing Address - Phone:360-310-7379
Mailing Address - Fax:
Practice Address - Street 1:466 E 500 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-3342
Practice Address - Country:US
Practice Address - Phone:801-363-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13047508-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor