Provider Demographics
NPI:1952394397
Name:LITTLEFIELD, SHEILA H (DC)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:H
Last Name:LITTLEFIELD
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 1:118 MAINE MALL RD
Mailing Address - Street 2:
Mailing Address - City:S PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2309
Mailing Address - Country:US
Mailing Address - Phone:207-772-1031
Mailing Address - Fax:207-774-9394
Practice Address - Street 1:118 MAINE MALL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:S PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2309
Practice Address - Country:US
Practice Address - Phone:207-772-1031
Practice Address - Fax:207-774-9394
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR565111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MECR565OtherSTATE LICENSE NUMBER
ME010377248Medicaid
MECR565OtherSTATE LICENSE NUMBER
T31288Medicare UPIN