Provider Demographics
NPI:1457592214
Name:LITTLETON, DENNIS C (ND L AC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:C
Last Name:LITTLETON
Suffix:
Gender:M
Credentials:ND L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 KENTUCKY ST STE 452
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4200
Mailing Address - Country:US
Mailing Address - Phone:360-676-5337
Mailing Address - Fax:
Practice Address - Street 1:702 KENTUCKY ST STE 452
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4200
Practice Address - Country:US
Practice Address - Phone:360-676-5337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 00000140171100000X
WANT 00000656175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist