Provider Demographics
NPI:1396891107
Name:DAWSON, GABRIEL M (DC)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:M
Last Name:DAWSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39 SIMON ST
Mailing Address - Street 2:SUITE#2B
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3046
Mailing Address - Country:US
Mailing Address - Phone:603-882-2144
Mailing Address - Fax:603-882-2144
Practice Address - Street 1:39 SIMON ST
Practice Address - Street 2:SUITE#2B
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3046
Practice Address - Country:US
Practice Address - Phone:603-882-2144
Practice Address - Fax:603-882-2144
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH699-0803111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30253968Medicaid
NH3336836OtherAETNA
NHAA1991OtherHARVARD PILGRIM
NH75805OtherCIGNA HEALTHCARE
NH05Y007466NH01OtherBCBS
NH1174260OtherGREATWEST HEALTHCARE