Thayer, Douglas Warren

Thayer, Douglas Warren is an sole proprietor health care provider with primary practice located at 189 Clinton Rd , New Hartford NY 13413-5303. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Thayer, Douglas Warren can be contacted via phone (315) 797-4222.

Contact Information

Primary practice address
189 Clinton Rd New Hartford NY 13413-5303
Phone: (315) 797-4222
Fax: (315) 797-7644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X008587 New York

Profile Details

NPI number 1851428619
LBN Legal business name Thayer, Douglas Warren
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 19 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 1851428619 NPPES
New York Other 161531371TH1 BC BS NUMBER
New York Other C08587-OB BC BS NUMBER

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