Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000197 | CT |
N | 175F00000X | Naturopath | 87 | NH |
NPI | 1154372159 |
---|---|
Provider Name | Carla D Hutt |
First Address | Shelton, CT 06484-2810 |
Second Address | Thomaston, CT 06787-1815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2006 |
Last Update Date | 30/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000197 | CONNECTICARE (01) | CT |
110000197CT02 | ANTHEM BC/BS (01) | CT |
P3536685 | OXFORD (01) | CT |