Provider Demographics
NPI:1811695075
Name:LITTERAL, DEVIN C
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:C
Last Name:LITTERAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:HARVEYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45032-0116
Mailing Address - Country:US
Mailing Address - Phone:859-393-6139
Mailing Address - Fax:
Practice Address - Street 1:78 W MAIN STREET
Practice Address - Street 2:
Practice Address - City:HARVEYSBURG
Practice Address - State:OH
Practice Address - Zip Code:45032
Practice Address - Country:US
Practice Address - Phone:859-393-6139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide