Provider Demographics
NPI:1386430775
Name:KOUR, BALBIR
Entity type:Individual
Prefix:
First Name:BALBIR
Middle Name:
Last Name:KOUR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39462
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-0462
Mailing Address - Country:US
Mailing Address - Phone:440-742-9060
Mailing Address - Fax:
Practice Address - Street 1:27450 TINKERS VALLEY DR
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2145
Practice Address - Country:US
Practice Address - Phone:440-742-9060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant