Little, Vernon L
Little, Vernon L is an sole proprietor health care provider with primary practice located at 415 N 26Th St Suite 201, Lafayette IN 47904-2856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Little, Vernon L can be contacted via phone (765) 446-6535.Contact Information
Primary practice address
415 N 26Th St Suite 201
Lafayette IN 47904-2856
Phone: (765) 446-6535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01027111A | Indiana |
Profile Details
| NPI number | 1164512430 |
|---|---|
| LBN Legal business name | Little, Vernon L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2006 |
| Last updated | Oct 5th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164512430 | NPPES |
| Michigan | MEDICAID | 4624390 | |
| Michigan | MEDICAID | 2477234 | |
| Michigan | MEDICAID | 100232010A | |
| Michigan | Other | 000000-206354 |
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