Provider Demographics
NPI:1154965267
Name:SINGH, SAHIB (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:SAHIB
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 N VIA PASEO DEL NORTE APT E207
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3717
Mailing Address - Country:US
Mailing Address - Phone:480-779-8188
Mailing Address - Fax:
Practice Address - Street 1:3030 N LITCHFIELD RD STE 120
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-7803
Practice Address - Country:US
Practice Address - Phone:480-720-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-1888175F00000X
AZ010137171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopathGroup - Single Specialty