Provider Demographics
NPI:1881860419
Name:LITTLE, JUNIA M
Entity Type:Individual
Prefix:MS
First Name:JUNIA
Middle Name:M
Last Name:LITTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12923 TRADD ST
Mailing Address - Street 2:#2A
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-6951
Mailing Address - Country:US
Mailing Address - Phone:317-580-0486
Mailing Address - Fax:
Practice Address - Street 1:12923 TRADD ST
Practice Address - Street 2:#2A
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-6951
Practice Address - Country:US
Practice Address - Phone:317-580-0486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-04
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist