Provider Demographics
NPI:1679652929
Name:LITTLE, APRIL M (DC)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:M
Last Name:LITTLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 HARTFORD TPKE STE B
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5043
Mailing Address - Country:US
Mailing Address - Phone:860-649-7705
Mailing Address - Fax:860-649-7485
Practice Address - Street 1:520 HARTFORD TPKE STE B
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5043
Practice Address - Country:US
Practice Address - Phone:860-649-7705
Practice Address - Fax:860-649-7485
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001658111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT050001658CT02OtherBLUECROSSBLUESHIELD
CT1172329OtherAETNA
CTV08541Medicare UPIN