MEDICARE: ADELINE ROSS HUBBARD SINGER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA.0007584	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA.0007584	OTHER	CO	COLORADO MEDICAL BOARD

General Provider Information

NPI Number	:	1275250870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELINE ROSS HUBBARD SINGER PA

Provider Business Mailing Address
First Line	:	51 WINDSOR WAY
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-5110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6900 E 47TH AVENUE DR STE 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-3449
Country	:	US
Telephone Number	:	303-333-4411
Fax Number	:	303-333-8719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	08/31/2023

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