Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 33893 | NC |
N | 111NI0900X | Internist | 33893 | NC |
N | 207RC0200X | Critical Care Medicine | 33893 | NC |
N | 207RG0300X | Geriatric Medicine | 33893 | NC |
Y | 207RP1001X | Pulmonary Disease | 33893 | NC |
N | 207RS0012X | Sleep Medicine | 33893 | NC |
NPI | 1114985686 |
---|---|
Provider Name | Dr. Jasvinder Pal Singh |
First Address | Elizabeth City, NC 27909-3243 |
Second Address | Elizabeth City, NC 27909-3243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 04/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0173X | BCBS OF NC GROUP # (01) | NC |
1038T | BCBS OF NC PROVIDER # (01) | NC |
2164379B | MEDICARE (01) | |
2327994 | PTAN-MEDICARE (01) | |
437123 | ALLIANCE PPO (01) | NC |
4854877 | UNITED HEALTH CARE (01) | NC |
690280Q | (05) | NC |
890173X | (05) | NC |
891038T | (05) | NC |
E67306 | (02) | NC |