Provider Demographics
NPI:1922158260
Name:SINGLETON, JEFFERY A (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:A
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 1:3178 STATE ROUTE 257
Mailing Address - Street 2:PO BOX 507
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-2428
Mailing Address - Country:US
Mailing Address - Phone:814-677-9233
Mailing Address - Fax:814-493-6221
Practice Address - Street 1:3178 STATE ROUTE 257
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2428
Practice Address - Country:US
Practice Address - Phone:814-677-9233
Practice Address - Fax:814-493-6221
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADC008937OtherLICENSE NUMBER
PA1039276OtherASHN
PA001424338OtherBLUE CROSS-BLUE SHIELD
PAP00060271OtherRAILROAD MEDICARE
PA0019291650004Medicaid
PA0019291650004Medicaid
PA001424338OtherBLUE CROSS-BLUE SHIELD
PA54-2128394OtherTAX ID NUMBER