Provider Demographics
NPI:1710047444
Name:SINGH, ARDAMAN BHAGWANT (DC)
Entity Type:Individual
Prefix:DR
First Name:ARDAMAN
Middle Name:BHAGWANT
Last Name:SINGH
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 1:55 CAREN AVE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2515
Mailing Address - Country:US
Mailing Address - Phone:614-436-9355
Mailing Address - Fax:614-436-2052
Practice Address - Street 1:55 CAREN AVE
Practice Address - Street 2:SUITE 360
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2515
Practice Address - Country:US
Practice Address - Phone:614-436-9355
Practice Address - Fax:614-436-2052
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSI0689781Medicare PIN