Provider Demographics
NPI:1851533970
Name:SINGER, CRAIG (MSOM, LAC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:SINGER
Suffix:
Gender:M
Credentials:MSOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 RIDGE RD
Mailing Address - Street 2:2-S
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1726
Mailing Address - Country:US
Mailing Address - Phone:219-836-5322
Mailing Address - Fax:219-836-5332
Practice Address - Street 1:900 RIDGE RD
Practice Address - Street 2:2-S
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1726
Practice Address - Country:US
Practice Address - Phone:219-836-5322
Practice Address - Fax:219-836-5332
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000832171100000X
IN84000107A171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist