Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 3675A | WY |
N | 207KA0200X | Allergist | 3675A | WY |
N | 207Q00000X | Family Doctor | 3675A | WY |
N | 2081P2900X | Pain Medicine | 3575A | WY |
NPI | 1265441430 |
---|---|
Provider Name | Dr. Jonathan Singer |
First Address | Englewood, CO 80111-6219 |
Second Address | Cheyenne, WY 82001-1518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A73089 | (02) | WY |