Provider Demographics
NPI:1619024528
Name:SINGER, REBECCA SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:SUE
Last Name:SINGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:SUE
Other - Last Name:ROTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:615 W SMITHFIELD ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1406
Mailing Address - Country:US
Mailing Address - Phone:724-547-3541
Mailing Address - Fax:724-547-0800
Practice Address - Street 1:615 W SMITHFIELD ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1406
Practice Address - Country:US
Practice Address - Phone:724-547-3541
Practice Address - Fax:724-547-0800
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor