Dr Stanley John Dezjot, DC - Chiropractor in Norwich, CT

Dr Stanley John Dezjot, DC is a Chiropractor - Sports Physician based in Norwich, Connecticut. Dr Stanley John Dezjot is licensed to practice in Connecticut (license number 1014) and his current practice location is 108 New London Tpke, Norwich, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 886-8007.

NPI number for Dr Stanley John Dezjot is 1669583423 and his current mailing address is Po Box 279, East Lyme, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669583423.

Contact Information

Dr Stanley John Dezjot, DC
108 New London Tpke,
Norwich, CT 06360-2645
(860) 886-8007
(860) 886-9545



Healthcare Provider's Profile

Full NameDr Stanley John Dezjot
GenderMale
SpecialityChiropractor - Sports Physician
Location108 New London Tpke, Norwich, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669583423
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr Stanley John Dezjot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669583423NPI-NPPES
4135944MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NS0005XChiropractor - Sports Physician 1014 (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. Dr Stanley John Dezjot 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 AddressPractice Location Address
Dr Stanley John Dezjot, DC
Po Box 279,
East Lyme, CT 06333-0279

Ph: (860) 886-8007
Dr Stanley John Dezjot, DC
108 New London Tpke,
Norwich, CT 06360-2645

Ph: (860) 886-8007

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Chiropractor in Norwich, CT

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