Provider Demographics
NPI:1427164102
Name:SINGER, ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:SINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-4600
Mailing Address - Country:US
Mailing Address - Phone:573-426-3333
Mailing Address - Fax:573-426-6728
Practice Address - Street 1:1704 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-4600
Practice Address - Country:US
Practice Address - Phone:573-426-3333
Practice Address - Fax:573-426-6728
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003017100111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000025574Medicare ID - Type Unspecified
MO23121Medicare UPIN