Dock, Sandra J
Dock, Sandra J is an individual health care provider with primary practice located at 170 Grandview Ave , Waterbury CT 06708-2525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dock, Sandra J can be contacted via phone (203) 759-3666.Contact Information
Primary practice address
170 Grandview Ave
Waterbury CT 06708-2525
Phone: (203) 759-3666
Fax: (203) 759-3671
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001213 | Connecticut |
Profile Details
NPI number | 1770695140 |
---|---|
LBN Legal business name | Dock, Sandra J |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Jul 3rd, 2013 - about 12 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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