Provider Demographics
NPI:1275250870
Name:SINGER, ADELINE ROSS HUBBARD (PA)
Entity Type:Individual
Prefix:
First Name:ADELINE
Middle Name:ROSS HUBBARD
Last Name:SINGER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ADELINE
Other - Middle Name:ROSS
Other - Last Name:HUBBARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:51 WINDSOR WAY
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5110
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6900 E 47TH AVENUE DR STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-3449
Practice Address - Country:US
Practice Address - Phone:303-333-4411
Practice Address - Fax:303-333-8719
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0007584363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
COPA.0007584OtherCOLORADO MEDICAL BOARD