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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1902863640 NPPES
New Mexico MEDICAID E5705

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