Individual
MISS DAWN ELIZABETH ROSACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT,CMF,COF
Contact information
Practice address
318 W MAIN ST, NORWICH, CT 06360-5413
(860) 889-8785
Mailing address
625 PLAINFIELD RD, JEWETT CITY, CT 06351-1025
(860) 376-1200
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
CT
225000000X
Orthotic Fitter
C22508
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00405699-00
BLUECARE FAMILY PLAN
CT
01
—
12DME0121CT01
ANTHEM BLUE CROSS
CT
01
—
OR4680
HEALTHNET
CT
Enumeration date
01/26/2007
Last updated
09/11/2025
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