Thayer, John O

Thayer, John O is an individual health care provider with primary practice located at 1000 Asylum Ave Ste 3201A, Hartford CT 06105-1770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Thayer, John O can be contacted via phone (860) 714-1094.

Contact Information

Primary practice address
1000 Asylum Ave Ste 3201A Hartford CT 06105-1770
Fax: (860) 714-8850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 028081 Connecticut

Profile Details

NPI number 1942293956
LBN Legal business name Thayer, John O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 30th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942293956 NPPES
Connecticut MEDICAID 001280817

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