Provider Demographics
NPI:1023314663
Name:WELLSPRING SHARON DE KADT, N.D., LLC
Entity type:Organization
Organization Name:WELLSPRING SHARON DE KADT, N.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:DE KADT
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:203-624-4044
Mailing Address - Street 1:245 AMITY RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525
Mailing Address - Country:US
Mailing Address - Phone:203-624-4044
Mailing Address - Fax:203-624-1441
Practice Address - Street 1:245 AMITY RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525
Practice Address - Country:US
Practice Address - Phone:203-624-4044
Practice Address - Fax:203-624-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-30
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000092175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty