Active NPIIndividual provider

Sandra J Sullivan, DT

Dietitian, Registered in Oakville, Connecticut

NPI Number1700913035
Practice location
900 Main St, Oakville, CT 06779-1999
Fax
860-945-9854
Last updated
July 8, 2007

Sandra J Sullivan is a Dietitian, Registered based in Oakville, CT. Sandra J Sullivan practices in Oakville, CT and has the professional credentials of DT. The NPI Number for Sandra J Sullivan is 1700913035 and holds a License No. 000778 (CT). The current practice location address for Sandra J Sullivan is 900 Main St, Oakville, CT 06779-1999 and can be reached out via phone at 860-945-3012 and via fax at 860-945-9854.

Provider Profile Details

NPI Number
1700913035
Provider Name
Sandra J Sullivan
Credential
DT
Provider Entity Type
Individual
Gender
Female
Address
900 Main St, Oakville, CT 06779-1999
Phone Number
860-945-3012
Fax Number
860-945-9854
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
February 27, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Main St
Oakville, CT 06779-1999
Zip
06779-1999
Phone Number
860-945-3012
Fax Number
860-945-9854
Oakville, CT 06779Get directions →

Provider Business Mailing Address Details

Address
Po Box 425
Watertown, CT 06795-0425
City
Watertown
State
CT
Zip
06795-0425
Phone Number
860-945-3012
Fax Number
860-945-9854

License Information

License Number
000778
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandra J Sullivan, DT?

The NPI number of Sandra J Sullivan, DT is 1700913035. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Sandra J Sullivan, DT?

Sandra J Sullivan, DT is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000778.

Where does Sandra J Sullivan, DT practice?

The practice location is 900 Main St, Oakville, CT 06779-1999. The office can be reached at 860-945-3012 (phone) or 860-945-9854 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700913035 directly on the NPPES registry website.

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