1154469401 NPI number — MR. MELVIN LEE SINGER MSW

Table of content: MR. MELVIN LEE SINGER MSW (NPI 1154469401)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154469401 NPI number — MR. MELVIN LEE SINGER MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGER
Provider First Name:
MELVIN
Provider Middle Name:
LEE
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SINGER
Provider Other First Name:
MEL
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW MSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1154469401
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1863 WAZEE ST
Provider Second Line Business Mailing Address:
3E
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80202-1235
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-295-1828
Provider Business Mailing Address Fax Number:
303-295-1528

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1863 WAZEE ST
Provider Second Line Business Practice Location Address:
3E
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80202-1235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-295-1828
Provider Business Practice Location Address Fax Number:
303-295-1528
Provider Enumeration Date:
02/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  876288 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X , with the licence number: 876288 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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