Provider Demographics
NPI:1710070834
Name:GRAFF, FREDERICK M (DC)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:M
Last Name:GRAFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 COLUMBUS ST
Mailing Address - Street 2:P. O. BOX 577, SUITE 101
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2763
Mailing Address - Country:US
Mailing Address - Phone:614-871-8400
Mailing Address - Fax:614-871-8897
Practice Address - Street 1:3009 COLUMBUS ST STE 101
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2763
Practice Address - Country:US
Practice Address - Phone:614-871-8400
Practice Address - Fax:614-871-8897
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1276111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSO9244221OtherMEDICARE
OH31-1318184-00OtherWORKERS COMPENSATION
OH44-000139OtherUNITED HEALTHCARE OF OHIO
OH119611OtherANTHEM BC/BS
OHSO9244221OtherMEDICARE