Provider Demographics
NPI:1316143134
Name:SINGER, SHANA BRIANA (DC)
Entity type:Individual
Prefix:DR
First Name:SHANA
Middle Name:BRIANA
Last Name:SINGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 ALLEGHENY MOON TER UNIT 2
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-0789
Mailing Address - Country:US
Mailing Address - Phone:702-533-2160
Mailing Address - Fax:702-566-6644
Practice Address - Street 1:2557 WIGWAM PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6230
Practice Address - Country:US
Practice Address - Phone:702-896-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01217111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV104823Medicare PIN