Provider Demographics
NPI:1194050237
Name:LITTLEFIELD COMPANY
Entity type:Organization
Organization Name:LITTLEFIELD COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECTREAS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:LITTLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING INSTRUMENT S
Authorized Official - Phone:801-485-1441
Mailing Address - Street 1:1441 E 2100 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-3724
Mailing Address - Country:US
Mailing Address - Phone:801-485-1441
Mailing Address - Fax:801-485-1480
Practice Address - Street 1:1441 E 2100 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105-3724
Practice Address - Country:US
Practice Address - Phone:801-485-1441
Practice Address - Fax:801-485-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========003Medicaid