Individual
JASON DEWITT LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-6815
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01055917A
IN
208000000X
Pediatrics Physician
01055917A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01055917A
IN
208M00000X
Hospitalist Physician
01055917A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200376130
—
IN
Enumeration date
01/06/2006
Last updated
10/05/2022
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