Provider Demographics
NPI:1548377989
Name:ROGUSKI, SHARI A (DC)
Entity type:Individual
Prefix:DR
First Name:SHARI
Middle Name:A
Last Name:ROGUSKI
Suffix:
Gender:F
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:PO BOX 373
Mailing Address - Street 2:145 DURHAM RD., SUITE 6
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-0373
Mailing Address - Country:US
Mailing Address - Phone:203-245-8000
Mailing Address - Fax:
Practice Address - Street 1:145 DURHAM RD
Practice Address - Street 2:SUITE 6
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2674
Practice Address - Country:US
Practice Address - Phone:203-245-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001372111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT061604608 & 4404636OtherUNITED HEALTH CARE
CT050001372CT01OtherBLUE CROSS
CT050001372CT01OtherBLUE CROSS