Provider Demographics
NPI:1316070592
Name:SINGER, JOSHUA IRA (LAC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:IRA
Last Name:SINGER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 RIVER ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-4327
Mailing Address - Country:US
Mailing Address - Phone:802-613-3904
Mailing Address - Fax:802-613-3924
Practice Address - Street 1:301 RIVER ST STE 101
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-4327
Practice Address - Country:US
Practice Address - Phone:802-613-3904
Practice Address - Fax:802-613-3924
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT091-0000134171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist