Provider Demographics
NPI:1891781878
Name:SINGLETON, RICHARD R (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:R
Last Name:SINGLETON
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 1:632 MAIN ST
Mailing Address - Street 2:ROUTE 6A
Mailing Address - City:DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02638-1906
Mailing Address - Country:US
Mailing Address - Phone:508-385-9999
Mailing Address - Fax:508-385-4570
Practice Address - Street 1:632 MAIN ST
Practice Address - Street 2:ROUTE 6A
Practice Address - City:DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02638-1906
Practice Address - Country:US
Practice Address - Phone:508-385-9999
Practice Address - Fax:508-385-4570
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA734802OtherTUFTS HEALTHPLAN
MA1609513Medicaid
MA35395OtherHARVARD PILGRIM HEALTHCAR
MA1609513Medicaid