Provider Demographics
NPI:1619178126
Name:SINGER, CHARLES (RN, LAC, DNBOA)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:SINGER
Suffix:
Gender:M
Credentials:RN, LAC, DNBOA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8065 APTOS ST
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3904
Mailing Address - Country:US
Mailing Address - Phone:831-685-1800
Mailing Address - Fax:831-685-0108
Practice Address - Street 1:8065 APTOS ST
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3904
Practice Address - Country:US
Practice Address - Phone:831-685-1800
Practice Address - Fax:831-685-0108
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 3676171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist