Littlehale, Mark J

Littlehale, Mark J is an individual health care provider with primary practice located at 4199 Gateway Blvd , Newburgh IN 47630-8940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Littlehale, Mark J can be contacted via phone (812) 842-4200.

Contact Information

Primary practice address
4199 Gateway Blvd Newburgh IN 47630-8940
Phone: (812) 842-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35408 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 01077457A Indiana

Profile Details

NPI number 1174544514
LBN Legal business name Littlehale, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 22nd, 2019 - about 5 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 1174544514 NPPES
Indiana MEDICAID 300016537
Indiana Other 35408
Indiana Other 000000108276
Indiana MEDICAID 64003163

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