Mark J Littlehale
Obstetrician & Gynecologist Obstetrician
4199 Gateway Blvd
Newburgh
, Indiana 47630-8940
Mark J Littlehale
Obstetrician & Gynecologist Obstetrician
4199 Gateway Blvd
Newburgh
, Indiana 47630-8940
(812) 842-4227
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About
Features
Specialties
- Obstetrician & Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Mark J Littlehale
- 4199 Gateway Blvd
- Newburgh, IN
- Zip : 47630-8940
- Fax : (812) 842-4227
- Phone : (812) 842-4108
Second Address
- Mark J Littlehale
- 4199 Gateway Blvd
- Newburgh, IN
- Zip : 47630-8940
- Phone : (812) 842-4200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 35408 | KY |
| Y | 207VX0000X | Obstetrician | 01077457A | IN |
National Provider Identifier
| NPI | 1174544514 |
|---|---|
| Provider Name | Mark J Littlehale |
| First Address | Newburgh, IN 47630-8940 |
| Second Address | Newburgh, IN 47630-8940 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 22/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000108276 | BCBS PROVIDER NUMBER (01) | |
| 300016537 | (05) | IN |
| 35408 | KENTUCKY MEDICAL LICENSE (01) | KY |
| 64003163 | (05) | KY |
| F81522 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.