Provider Demographics
NPI:1780249508
Name:LITTLE, NICHOLAS JOSEPH (MS)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:JOSEPH
Last Name:LITTLE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10494 MONTGOMERY RD RM 2102
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5214
Mailing Address - Country:US
Mailing Address - Phone:513-853-1300
Mailing Address - Fax:
Practice Address - Street 1:10494 MONTGOMERY RD RM 2102
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5214
Practice Address - Country:US
Practice Address - Phone:513-853-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS