Healthcare Provider Details

I. General information

NPI: 1962462051
Provider Name (Legal Business Name): RICHARD L LITTLEFIELD DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 WATER STREET
BLUE HILL ME
04614
US

IV. Provider business mailing address

57 WATER STREET
BLUE HILL ME
04614
US

V. Phone/Fax

Practice location:
  • Phone: 207-374-3940
  • Fax: 207-374-3980
Mailing address:
  • Phone: 207-374-3940
  • Fax: 207-374-3980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number1061
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: