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NPI Code Detail

MEDICARE: CARLA D HUTT ND

MEDICARE: CARLA D HUTT ND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath87NH
2175F00000XNaturopath000197CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000197OTHERCTCONNECTICARE
2110000197CT02OTHERCTANTHEM BC/BS
3P3536685OTHERCTOXFORD

General Provider Information

NPI Number : 1154372159
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA D HUTT ND
Provider Business Mailing Address
First Line : 372 ASPETUCK TRL
Second Line :
City : SHELTON
State : CT
Zip : 06484-2810
Country : US
Telephone Number : 860-558-4009
Fax Number : 844-331-2026
Provider Business Practice Location Address
First Line : 258 S MAIN ST
Second Line :
City : THOMASTON
State : CT
Zip : 06787-1815
Country : US
Telephone Number : 860-558-4009
Fax Number : 844-331-2026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2006
Last Update Date : 07/30/2019

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