Dessau, Edward A
Dessau, Edward A is an sole proprietor health care provider with primary practice located at 45 White St , Shelton CT 06484-3129. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Orthopedic. Chiropractic Providers / Chiropractor is his primary health care specialty. Dessau, Edward A can be contacted via phone (203) 924-7557.Contact Information
Primary practice address
45 White St
Shelton CT 06484-3129
Phone: (203) 924-7557
Fax: (203) 924-1112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 000751 | Connecticut |
| Chiropractic Providers / Rehabilitation | 111NR0400X | 000751 | Connecticut |
| Chiropractic Providers / Orthopedic | 111NX0800X | 000751 | Connecticut |
Profile Details
| NPI number | 1114008521 |
|---|---|
| LBN Legal business name | Dessau, Edward A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114008521 | NPPES |
| Connecticut | MEDICAID | 4090487 |
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