1437428554 NPI number — HEATHER LOUISE LITTRELL

Table of content: HEATHER LOUISE LITTRELL (NPI 1437428554)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437428554 NPI number — HEATHER LOUISE LITTRELL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LITTRELL
Provider First Name:
HEATHER
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437428554
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19428 HIGHWAY 32
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINGSTON
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73439-8099
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-236-8203
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
209 E WILSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TISHOMINGO
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73460-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-371-3019
Provider Business Practice Location Address Fax Number:
580-371-0138
Provider Enumeration Date:
12/19/2011

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: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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