Thayer, Gabriel John
Thayer, Gabriel John is an sole proprietor health care provider with primary practice located at 72 West Stafford Road Suite A-3, Stafford Springs CT 06076. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Thayer, Gabriel John can be contacted via phone (860) 684-2227.Contact Information
Primary practice address
72 West Stafford Road Suite A-3
Stafford Springs CT 06076
Phone: (860) 684-2227
Fax: (860) 684-6104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 001471 | Connecticut |
Profile Details
| NPI number | 1104885730 |
|---|---|
| LBN Legal business name | Thayer, Gabriel John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Feb 12th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104885730 | NPPES |
| Connecticut | Other | 350001272 | ANTHEM BC/BS |
| Connecticut | MEDICAID | 004225167 | ANTHEM BC/BS |
| Connecticut | Other | CT001471 | ANTHEM BC/BS |
| Connecticut | Other | 9353973 | ANTHEM BC/BS |
| Connecticut | Other | CT001471 | ANTHEM BC/BS |
| Connecticut | Other | 3320173 | ANTHEM BC/BS |
| Connecticut | Other | 5551126 | ANTHEM BC/BS |
| Connecticut | Other | 668802 | ANTHEM BC/BS |
| Connecticut | Other | 775301 | ANTHEM BC/BS |
| Connecticut | Other | P2809094 | ANTHEM BC/BS |
| Connecticut | Other | 2240832 | ANTHEM BC/BS |
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