Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 5501015125 | MI |
NPI | 1003113317 |
---|---|
Provider Name | Harpreet Singh |
First Address | Mount Pleasant, MI 48858-4198 |
Second Address | Mount Pleasant, MI 48858-3200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2011 |
Last Update Date | 23/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E1850405 | IDENTIFICATION CARD (01) | CA |