Healthcare Provider Details

I. General information

NPI: 1487809158
Provider Name (Legal Business Name): JAY MICHAEL LITTLEFIELD II M.D., D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2008
Last Update Date: 06/03/2020
Certification Date: 06/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 WILSON ST
MILES CITY MT
59301-5094
US

IV. Provider business mailing address

2600 WILSON ST
MILES CITY MT
59301-5094
US

V. Phone/Fax

Practice location:
  • Phone: 406-233-2600
  • Fax: 406-233-2503
Mailing address:
  • Phone: 406-233-2600
  • Fax: 406-233-2503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5179
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002411A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 9979
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number87704
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: