Dezjot, Stanley John
Dezjot, Stanley John is an sole proprietor health care provider with primary practice located at 108 New London Tpke , Norwich CT 06360-2645. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Dezjot, Stanley John can be contacted via phone (860) 886-8007.Contact Information
Primary practice address
108 New London Tpke
Norwich CT 06360-2645
Phone: (860) 886-8007
Fax: (860) 886-9545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 1014 | Connecticut |
Profile Details
| NPI number | 1669583423 |
|---|---|
| LBN Legal business name | Dezjot, Stanley John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669583423 | NPPES |
| Connecticut | MEDICAID | 4135944 |
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