Provider Demographics
NPI:1407850266
Name:SINGLETON, MARGARET R (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:R
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:R
Other - Last Name:SINGLETON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:135 S GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64468-2053
Mailing Address - Country:US
Mailing Address - Phone:870-763-2139
Mailing Address - Fax:870-763-5056
Practice Address - Street 1:209 S LOCKARD ST
Practice Address - Street 2:
Practice Address - City:BLYTHEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72315-2541
Practice Address - Country:US
Practice Address - Phone:870-763-2139
Practice Address - Fax:870-763-5056
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020058592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205807506Medicaid
MO205807506Medicaid
MOH57544Medicare UPIN