Provider Demographics
NPI:1568407518
Name:SINGER, JAY ALAN (LPN)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:ALAN
Last Name:SINGER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10050 MILE RD
Mailing Address - Street 2:
Mailing Address - City:NEW LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45345-9662
Mailing Address - Country:US
Mailing Address - Phone:937-687-2222
Mailing Address - Fax:
Practice Address - Street 1:10050 MILE RD
Practice Address - Street 2:
Practice Address - City:NEW LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45345-9662
Practice Address - Country:US
Practice Address - Phone:937-687-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN117713164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse