Provider Demographics
NPI:1093019739
Name:SINGLE, DONALD RALPH (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:RALPH
Last Name:SINGLE
Suffix:
Gender:M
Credentials:MD
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 1499
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-1499
Mailing Address - Country:US
Mailing Address - Phone:603-526-2969
Mailing Address - Fax:603-526-8863
Practice Address - Street 1:16 MOUNTAIN OVERLOOK
Practice Address - Street 2:
Practice Address - City:WILMOT
Practice Address - State:NH
Practice Address - Zip Code:03287
Practice Address - Country:US
Practice Address - Phone:603-526-2969
Practice Address - Fax:603-526-8863
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8894207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine