Provider Demographics
NPI:1336384197
Name:SINJU, BAMILEKE SINJU
Entity type:Individual
Prefix:
First Name:BAMILEKE
Middle Name:SINJU
Last Name:SINJU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:GEORGE
Other - Middle Name:SINJU
Other - Last Name:SINJU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OFFICE MANAGER
Mailing Address - Street 1:3712 SOUTH GOLDEN GRAIN CIR
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84120
Mailing Address - Country:US
Mailing Address - Phone:801-755-0296
Mailing Address - Fax:801-963-6945
Practice Address - Street 1:3712 SOUTH GOLDEN GRAIN CIR
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84120
Practice Address - Country:US
Practice Address - Phone:801-755-0296
Practice Address - Fax:801-963-6945
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health