Provider Demographics
NPI:1124484381
Name:SINGHA, HORI S
Entity type:Individual
Prefix:
First Name:HORI
Middle Name:S
Last Name:SINGHA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TORI
Other - Middle Name:S
Other - Last Name:SINGHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PROSTHETIST/ORTHOTIS
Mailing Address - Street 1:649 RIDGEVIEW DR.
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050
Mailing Address - Country:US
Mailing Address - Phone:815-353-0677
Mailing Address - Fax:815-344-0172
Practice Address - Street 1:649 RIDGEVIEW DR.
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050
Practice Address - Country:US
Practice Address - Phone:815-353-0677
Practice Address - Fax:815-344-3070
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist