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Individual

MR. DONN ANTHONY INNAIMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
380 MAIN ST, STE 5, WATERTOWN, CT 06795-2260
(860) 274-8858
(860) 945-6355
Mailing address
380 MAIN ST, STE 5, WATERTOWN, CT 06795-2260
(860) 274-8858
(860) 945-6355

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000346
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00405146
CT
01
00405146200
BLUE CARE FAMILY PLAN
01
0461226
AETNA HMO
01
050000346CT07
ANTHEM BC/BS
01
102035000
ASHN
01
4210015
AETHNA PPO
01
6596401003
CIGNA
01
CT00346
LANDMARK
Enumeration date
06/20/2005
Last updated
01/25/2023
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