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:
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Health care specialties

SpecialtyCodeLicense #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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