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Contact Information

STANLEY J DEZJOT, D.C.
108 NEW LONDON TPKE
NORWICH, CT06360-2645
 Phone: 860-886-8007
 Fax: 860-886-9545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for STANLEY J DEZJOT · (Male)

NPI Number 1669583423
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/31/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 1014
  • CT Medicaid 4135944
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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