Sandra J Sullivan, DT is a
Dietitian, Registered based in Oakville, Connecticut. Sandra J Sullivan is licensed to practice in Connecticut (license number 000778) and her current practice location is
900 Main St, Oakville, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 945-3012.
NPI number for Sandra J Sullivan is 1700913035 and her current mailing address is Po Box 425, Watertown, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700913035.
Healthcare Provider's Profile
Full Name | Sandra J Sullivan |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 900 Main St, Oakville, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700913035
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sandra J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700913035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 000778 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra J Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sandra J Sullivan, DT Po Box 425, Watertown, CT 06795-0425 Ph: (860) 945-3012 | Sandra J Sullivan, DT 900 Main St, Oakville, CT 06779-1999 Ph: (860) 945-3012 |
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