Provider Demographics
NPI:1053539502
Name:SINGLETON CHIROPRACTIC, P.S.
Entity type:Organization
Organization Name:SINGLETON CHIROPRACTIC, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-663-5420
Mailing Address - Street 1:620 N EMERSON AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-6619
Mailing Address - Country:US
Mailing Address - Phone:509-663-5420
Mailing Address - Fax:509-664-7372
Practice Address - Street 1:620 N EMERSON AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6619
Practice Address - Country:US
Practice Address - Phone:509-663-5420
Practice Address - Fax:509-664-7372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA=========OtherTAX ID #
WAG8853737Medicare PIN
WA=========OtherTAX ID #