Provider Demographics
NPI:1134366560
Name:SINGER, JOLEEN VARIE (PA)
Entity type:Individual
Prefix:
First Name:JOLEEN
Middle Name:VARIE
Last Name:SINGER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JOLEEN
Other - Middle Name:VARIE
Other - Last Name:REULE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:10 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-0969
Mailing Address - Country:US
Mailing Address - Phone:605-721-8939
Mailing Address - Fax:
Practice Address - Street 1:249 5TH ST E
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:MN
Practice Address - Zip Code:56175-1536
Practice Address - Country:US
Practice Address - Phone:507-629-3520
Practice Address - Fax:507-212-4199
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0722363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant