Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 4301055549 | MI |
NPI | 1033198064 |
---|---|
Provider Name | Dr. Ajit Singh |
First Address | Davison, MI 48423-3617 |
Second Address | Davison, MI 48423-3617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 19/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0108242472 | BCBS (01) | MI |
10-4587901 | (05) | MI |
F38627 | (02) | MI |