Provider Demographics
NPI:1780836650
Name:DR. JAMES L. SINGLETON, JR.
Entity Type:Organization
Organization Name:DR. JAMES L. SINGLETON, JR.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:757-543-4833
Mailing Address - Street 1:PO BOX 5402
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-0402
Mailing Address - Country:US
Mailing Address - Phone:757-543-4833
Mailing Address - Fax:757-543-4857
Practice Address - Street 1:1098 CASCADE BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-3530
Practice Address - Country:US
Practice Address - Phone:757-543-4833
Practice Address - Fax:757-543-4857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA301213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9300929Medicaid
VA453196OtherBLUE CROSSBLUE SHIELD
VA480930104Medicare PIN
VA453196OtherBLUE CROSSBLUE SHIELD