Provider Demographics
NPI:1124884507
Name:LITTELL, GAIL (ND)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:LITTELL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9833 N MCKINLEY RD
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47108-6392
Mailing Address - Country:US
Mailing Address - Phone:812-896-5547
Mailing Address - Fax:
Practice Address - Street 1:9833 N MCKINLEY RD
Practice Address - Street 2:
Practice Address - City:CAMPBELLSBURG
Practice Address - State:IN
Practice Address - Zip Code:47108-6392
Practice Address - Country:US
Practice Address - Phone:812-896-5547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0103004175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath