Healthcare Provider Details

I. General information

NPI: 1598756066
Provider Name (Legal Business Name): CRAIG STEVEN LITTLE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 09/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 N IRWIN ST
HANFORD CA
93230-3813
US

IV. Provider business mailing address

755 N IRWIN ST
HANFORD CA
93230-3813
US

V. Phone/Fax

Practice location:
  • Phone: 559-584-5000
  • Fax: 559-584-0522
Mailing address:
  • Phone: 559-584-5000
  • Fax: 559-584-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number015993
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number015993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: