| Dr Brendan Gauthier, DC | |
|
1095 West St Unit 1, Southington, CT 06489-6034 | |
| (860) 620-1705 | |
| (860) 620-1746 |
| Full Name | Dr Brendan Gauthier |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1095 West St Unit 1, Southington, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467287268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 7.002335 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brendan Gauthier, DC 1095 West St Unit 1, Southington, CT 06489-6034 Ph: (860) 620-1705 | Dr Brendan Gauthier, DC 1095 West St Unit 1, Southington, CT 06489-6034 Ph: (860) 620-1705 |
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Dr. Koby Douglas Fowler, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1095 West St Unit 1, Southington, CT 06489 Phone: 860-620-1705 Fax: 860-620-1746 | |
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Southington Chiropractic Center, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 474 N Main St, Southington, CT 06489 Phone: 860-621-7770 Fax: 860-621-2782 | |
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