Provider Demographics
NPI:1467444075
Name:LITTLE, WILLIAM LUVERNE JR (DO)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:LUVERNE
Last Name:LITTLE
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:1558 CHERRY GROVE RD N
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23432-1822
Mailing Address - Country:US
Mailing Address - Phone:757-255-2488
Mailing Address - Fax:
Practice Address - Street 1:3315 HIGH ST
Practice Address - Street 2:THE CENTER FOR PAIN MANAGEMENT
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3319
Practice Address - Country:US
Practice Address - Phone:757-399-0759
Practice Address - Fax:757-397-8951
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102050102207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2000373OtherVIRGINIA PHYSICIAN NETWOR
VA265202OtherANTHEM
54-1951442OtherVIRGINIA HEALTH NETWORK
150684200OtherOWCP FED WC VIA ACS
54-1951442OtherAETNA
54-1951442OtherFOCUS WORKERS COMP
54-1951442OtherMIDATLANTIC HEALTH SOLUTI
NC7906181Medicaid
A1797OtherMEDCOST
VA050068527OtherMEDICARE RAILROAD
VA10010979OtherSENTARA PPO
54-1951442OtherCORVEL WC PROVIDER NETWOR
54-1951442OtherBENESIGHT
54-1951442OtherPHCS
VA5714931OtherPREMIER HEALTH PLAN
SCQ50102Medicaid
2890302001OtherCIGNA
VA5714931Medicaid
VA10010979OtherSENTARA PPO
NC7906181Medicaid