Individual
DR. DOUGLAS WARREN THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
189 CLINTON RD, NEW HARTFORD, NY 13413-5303
(315) 797-4222
(315) 797-7644
Mailing address
189 CLINTON RD, NEW HARTFORD, NY 13413-5303
(315) 797-4222
(315) 797-7644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008587
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161531371TH1
BC BS NUMBER
NY
01
—
C08587-OB
WORKERS' COMP. NUMBER
NY
Enumeration date
02/28/2007
Last updated
07/08/2007
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