Provider Demographics
NPI:1083212864
Name:CINGLE, MADELINE
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:CINGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 DAIRY ST
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:PA
Mailing Address - Zip Code:16829-8025
Mailing Address - Country:US
Mailing Address - Phone:814-360-0265
Mailing Address - Fax:
Practice Address - Street 1:120 DAIRY ST
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:PA
Practice Address - Zip Code:16829-8025
Practice Address - Country:US
Practice Address - Phone:814-360-0265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant