Individual
AMY M LITTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450B WASHINGTON JACKSON RD, SUITE 104, EATON, OH 45320-7600
(937) 456-8340
(937) 456-8341
Mailing address
450B WASHINGTON JACKSON RD, SUITE 104, EATON, OH 45320-7600
(937) 456-8340
(937) 456-8341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1071818
OH
363A00000X
Physician Assistant
Primary
50.002571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517711
—
OH
Enumeration date
01/16/2008
Last updated
01/17/2019
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