Littlefield, Jerald Joseph
Littlefield, Jerald Joseph is an sole proprietor health care provider with primary practice located at 2100 Calle De La Vuelta E-104, Santa Fe NM 87505-4819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Littlefield, Jerald Joseph can be contacted via phone (505) 982-8831.Contact Information
Primary practice address
2100 Calle De La Vuelta E-104
Santa Fe NM 87505-4819
Phone: (505) 982-8831
Fax: (505) 983-2763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | NM92284 | New Mexico |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101026463 | Virginia |
Profile Details
| NPI number | 1902863640 |
|---|---|
| LBN Legal business name | Littlefield, Jerald Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Nov 3rd, 2016 - about 10 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 | 1902863640 | NPPES |
| New Mexico | MEDICAID | E5705 |
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