Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 699-0803 | NH |
NPI | 1396891107 |
---|---|
Provider Name | Dr. Gabriel M Dawson |
First Address | Nashua, NH 03060-3046 |
Second Address | Nashua, NH 03060-3046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05Y007466NH01 | BCBS (01) | NH |
1174260 | GREATWEST HEALTHCARE (01) | NH |
30253968 | (05) | NH |
3336836 | AETNA (01) | NH |
75805 | CIGNA HEALTHCARE (01) | NH |
AA1991 | HARVARD PILGRIM (01) | NH |