De Massa, Douglas John

De Massa, Douglas John is an sole proprietor health care provider with primary practice located at 111 East Ave Suite 336, Norwalk CT 06851-5014. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. De Massa, Douglas John can be contacted via phone (203) 866-6000.

Contact Information

Primary practice address
111 East Ave Suite 336 Norwalk CT 06851-5014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 001397 Connecticut

Profile Details

NPI number 1932312782
LBN Legal business name De Massa, Douglas John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932312782 NPPES
Connecticut Other 050001397CT01 ANTHEM BLUE CARE PPO

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