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Individual

DR. ANNETTE C SANDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1077 BRIDGEPORT AVE, SHELTON, CT 06484-4622
(203) 929-5700
(203) 929-5600
Mailing address
212 PINEWOOD TRL, TRUMBULL, CT 06611-3369

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001334
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050001334CT04
ANTHEM BCBS ID
CT
01
2591871
AETNA ID
CT
01
2V0230
HEALTHNET & PHS
CT
01
714754
CONNECTICARE ID
CT
01
P2531544
OXFORD ID
CT
Enumeration date
02/16/2007
Last updated
07/08/2007
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