Little, Jeffery Brent

Little, Jeffery Brent is an sole proprietor health care provider with primary practice located at 545 Old Norcross Rd Suite 100, Lawrenceville GA 30046-3389. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Little, Jeffery Brent can be contacted via phone (678) 377-2833.

Contact Information

Primary practice address
545 Old Norcross Rd Suite 100 Lawrenceville GA 30046-3389
Phone: (678) 377-2833
Fax: (678) 377-2882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT003324 Georgia

Profile Details

NPI number 1427194653
LBN Legal business name Little, Jeffery Brent
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Oct 5th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427194653 NPPES
Georgia MEDICAID 000903009C

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