Provider Demographics
NPI:1194766493
Name:LITTERAL, AMY (DC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:LITTERAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-2753
Mailing Address - Country:US
Mailing Address - Phone:828-713-5862
Mailing Address - Fax:
Practice Address - Street 1:2270 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-2753
Practice Address - Country:US
Practice Address - Phone:828-713-5862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3219111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085TTMedicaid
NC085TTOtherBC/BS
NC085TTOtherBC/BS