1275250870 NPI number — ADELINE ROSS HUBBARD SINGER PA

Table of content: ADELINE ROSS HUBBARD SINGER PA (NPI 1275250870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275250870 NPI number — ADELINE ROSS HUBBARD SINGER PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGER
Provider First Name:
ADELINE
Provider Middle Name:
ROSS HUBBARD
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUBBARD
Provider Other First Name:
ADELINE
Provider Other Middle Name:
ROSS
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1275250870
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6900 E 47TH AVENUE DR STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80216-3449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-333-4411
Provider Business Practice Location Address Fax Number:
303-333-8719
Provider Enumeration Date:
10/24/2022

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: 363A00000X , with the licence number:  PA.0007584 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: PA.0007584 . This is a "COLORADO MEDICAL BOARD" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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