Provider Demographics
NPI:1417798448
Name:LITTERAL, MONTE HAL
Entity type:Individual
Prefix:
First Name:MONTE
Middle Name:HAL
Last Name:LITTERAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-2652
Mailing Address - Country:US
Mailing Address - Phone:937-471-0442
Mailing Address - Fax:
Practice Address - Street 1:521 CEDAR ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-2652
Practice Address - Country:US
Practice Address - Phone:937-471-0442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver