Little, Wilbur T.
Little, Wilbur T. is an sole proprietor health care provider with primary practice located at 141 Palisade Point Dr. , Ellenwood GA 30294. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Little, Wilbur T. can be contacted via phone (404) 386-7270.Contact Information
Primary practice address
141 Palisade Point Dr.
Ellenwood GA 30294
Phone: (404) 386-7270
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X |
Profile Details
NPI number | 1255567798 |
---|---|
LBN Legal business name | Little, Wilbur T. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 10th, 2009 |
Last updated | Jun 10th, 2009 - about 16 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 | 1255567798 | NPPES |
Georgia | MEDICAID | 870757549 |
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