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Individual

DR. GABRIEL JOHN THAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
72 WEST STAFFORD ROAD, SUITE A-3, STAFFORD SPRINGS, CT 06076
(860) 684-2227
(860) 684-6104
Mailing address
P.O. BOX 110, STAFFORD SPRINGS, CT 06076
(860) 684-2227
(860) 684-6104

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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