Individual
DR. NICHOLA BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
992 HIGH RIDGE RD, 3RD FLOOR, STAMFORD, CT 06905-1616
(203) 321-0000
(203) 322-0300
Mailing address
992 HIGH RIDGE RD, THIRD FLOOR, STAMFORD, CT 06905-1616
(203) 321-0000
(203) 322-0300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000873
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000873CT01
ANTHEM
CT
Enumeration date
03/21/2007
Last updated
05/19/2011
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