MEDICARE: WILLIAM JOHN LITTMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD18135	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110232534	OTHER	TN	RAILROAD MEDICARE PROV #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4018849	OTHER	TN	BLUE CROSS BLUE SHIELD TN

General Provider Information

NPI Number	:	1750389607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM JOHN LITTMAN MD

Provider Business Mailing Address
First Line	:	1419 W BADDOUR PKWY
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-2513
Country	:	US
Telephone Number	:	615-444-0465
Fax Number	:	615-444-0478

Provider Business Practice Location Address
First Line	:	1419 W BADDOUR PKWY
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-2513
Country	:	US
Telephone Number	:	615-444-0465
Fax Number	:	615-444-0478

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	03/11/2010

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