Healthcare Provider Details

I. General information

NPI: 1275290405
Provider Name (Legal Business Name): PARMINDER S SAINI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2021
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10520 WALLINGSFORD CIR
DAYTON OH
45458-5053
US

IV. Provider business mailing address

10520 WALLINGSFORD CIR
DAYTON OH
45458-5053
US

V. Phone/Fax

Practice location:
  • Phone: 937-671-1808
  • Fax:
Mailing address:
  • Phone: 937-671-1808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number90514103
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number90514103
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number90514103
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number90514103
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: