Provider Demographics
NPI:1760727044
Name:KRAFT, BENJAMIN C (DC)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:C
Last Name:KRAFT
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 1:6077 FRANTZ RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3325
Mailing Address - Country:US
Mailing Address - Phone:614-389-4473
Mailing Address - Fax:614-389-4719
Practice Address - Street 1:6077 FRANTZ RD
Practice Address - Street 2:SUITE 103
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3325
Practice Address - Country:US
Practice Address - Phone:614-389-4473
Practice Address - Fax:614-389-4719
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor