Provider Demographics
NPI:1326029687
Name:SINGLETON, MICHAEL B (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:SINGLETON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1573 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-1719
Mailing Address - Country:US
Mailing Address - Phone:508-896-7277
Mailing Address - Fax:508-896-1811
Practice Address - Street 1:1573 ROUTE 6A
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-1719
Practice Address - Country:US
Practice Address - Phone:508-896-7277
Practice Address - Fax:508-896-1811
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2567111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA458019OtherTUFTS HEALTHPLAN
MAY36780OtherBCBS OF MA
MA351394OtherHARVARD PILGRIM HEALTHCAR
MA1697170Medicaid
MA4400922OtherUNITED HEALTHCARE
MA200053805OtherCIGNA HEALTHCARE
MAY45407Medicare PIN
MAY36780OtherBCBS OF MA