Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 015993 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 015993 | CA |
NPI | 1598756066 |
---|---|
Provider Name | Dr. Craig Steven Little |
First Address | Hanford, CA 93230-3813 |
Second Address | Hanford, CA 93230-3813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 29/09/2011 |