Healthcare Provider Details

I. General information

NPI: 1427164102
Provider Name (Legal Business Name): ALAN SINGER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 03/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1704 E 10TH ST
ROLLA MO
65401-4600
US

IV. Provider business mailing address

1704 E 10TH ST
ROLLA MO
65401-4600
US

V. Phone/Fax

Practice location:
  • Phone: 573-426-3333
  • Fax: 573-426-6728
Mailing address:
  • Phone: 573-426-3333
  • Fax: 573-426-6728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number2003017100
License Number StateMO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: