Provider Demographics
NPI:1245364041
Name:SOVA, JOHN CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:SOVA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-1804
Mailing Address - Country:US
Mailing Address - Phone:203-452-1110
Mailing Address - Fax:
Practice Address - Street 1:235 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-2720
Practice Address - Country:US
Practice Address - Phone:203-847-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
7242622OtherAETNA
68WLKN026CT01OtherANTHEM BCBS
CT3736521OtherAETNA
3392961OtherAETNA US HEALTHCARE
P3407583OtherOXFORD
23-2189859OtherUNITED HEALTHCARE
2V5977OtherHEALHTNET
24440555OtherUNITED HEALTH CARE
3134633002OtherCIGNA
OV9213OtherPHS
CT1286COtherLANDMARK
OV9213OtherPHS
P3407583OtherOXFORD