Ronald B. Little, D.C.

Individual provider Active NPI Chiropractor · Florence, MS

NPI 1902825474 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902825474
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
0972 (MS)
Practice address
3091 Highway 49 S
Suite O
Florence, MS 39073-9452
Phone
(601) 845-3114
Fax
(601) 845-3114
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel Ridge Community Health Clinic Past Accepting new patients
Emmanuel Ridge Chiropractic Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0972 MS Yes

Addresses

Primary practice location

3091 Highway 49 S
Suite O
Florence, MS 39073-9452

Mailing address

3091 Highway 49 S
Suite O
Florence, MS 39073-9452
Phone (601) 845-3114

Other identifiers

IdentifierTypeStateIssuer
0012-00-84MedicaidMS

Other providers in Florence, MS

All providers in Florence, MS · Chiropractor in Mississippi

Sources for this page

Verify at the official NPI Registry.