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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1164512430 NPPES
Michigan MEDICAID 4624390
Michigan MEDICAID 2477234
Michigan MEDICAID 100232010A
Michigan Other 000000-206354

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