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Individual
DR. GABRIEL JOHN THAYER
Active
Individual
DR. GABRIEL JOHN THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001471
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004225167
—
CT
01
—
2240832
FIRST HEALTH
CT
01
—
3320173
AETNA
CT
01
—
350001272
ANTHEM BC/BS
CT
01
—
5551126
CCN NETWORK
CT
01
—
668802
ACN GROUP
CT
01
—
775301
CONNECTICARE
CT
01
—
9353973
PHCS
CT
01
—
CT001471
HMC PPO NORTHEAST HEALTH
CT
01
—
P2809094
OXFORD HEALTH PLANS
CT
Enumeration date
03/22/2006
Last updated
02/12/2014
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