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NPI Code Detail

MEDICARE: WILLIAM JOHN LITTMAN MD

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
1207R00000XInternal Medicine PhysicianMD18135TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110232534OTHERTNRAILROAD MEDICARE PROV #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34018849OTHERTNBLUE 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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