Provider Demographics
NPI:1053942706
Name:SINGLES, ANDREW J
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:SINGLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53069 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-2577
Mailing Address - Country:US
Mailing Address - Phone:586-781-2655
Mailing Address - Fax:586-781-6714
Practice Address - Street 1:53069 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48316-2577
Practice Address - Country:US
Practice Address - Phone:586-781-2655
Practice Address - Fax:586-781-6714
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist