MEDICARE: DR.JAMESL SINGLETONJR DPM

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	213E00000X	Podiatrist		VA

General Provider Information

NPI Number	:	1962666073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR.JAMESL SINGLETONJR DPM

Provider Business Mailing Address
First Line	:	PO BOX 5402
Second Line	:	1098 CASCADE BLVD.
City	:	CHESAPEAKE
State	:	VA
Zip	:	23324-0402
Country	:	US
Telephone Number	:	757-543-4833
Fax Number	:	757-543-4857

Provider Business Practice Location Address
First Line	:	1098 CASCADE BLVD
Second Line	:	1098 CASCADE BLVD.
City	:	CHESAPEAKE
State	:	VA
Zip	:	23324-3530
Country	:	US
Telephone Number	:	757-543-4833
Fax Number	:	757-543-4857

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES LEROY SINGLETON, JR.
Credential	:	DPM
Telephone Number	:	757-543-4833

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	07/17/2008

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