Individual
MS. STACIE DAWN SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
30 E APPLE ST STE 1480, DAYTON, OH 45409-2939
(937) 208-7240
Mailing address
3170 KETTERING BLVD BLDG B2ND, MORAINE, OH 45439-1924
(937) 991-3188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4963
SC
363A00000X
Physician Assistant
50.001407RX
OH
363A00000X
Physician Assistant
Primary
5601011011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146323
—
OH
Enumeration date
10/17/2006
Last updated
05/13/2025
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