| Pamela Little Inc | |
|
125 4th St Nw Mason City IA 50401-3113 | |
| (641) 423-4724 | |
| (641) 423-3955 |
| Full Name | Pamela Little Inc |
|---|---|
| Speciality | Social Worker |
| Location | 125 4th St Nw, Mason City, Iowa |
| Authorized Official Name and Position | Pamela C Little (PRESIDENT) |
| Authorized Official Contact | 6414234724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Little Inc 125 4th St Nw Mason City IA 50401-3113 Ph: (641) 423-4724 | Pamela Little Inc 125 4th St Nw Mason City IA 50401-3113 Ph: (641) 423-4724 |
| NPI Number | 1881757953 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 7719081710 |
|---|---|
| Medicare Enrollment ID | O20070402000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881757953 | NPI | - | NPPES |
| 51975 | Other | IA | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00204 (Iowa) | Primary |
| Provider Name | Pamela C Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811089071 PECOS PAC ID: 0244129435 Enrollment ID: I20040315000634 |
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