Provider Demographics
NPI:1184969297
Name:CRANER, JASMINE PATRICIA (DC, CSCS)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:PATRICIA
Last Name:CRANER
Suffix:
Gender:F
Credentials:DC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1156 DUBLIN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1095
Mailing Address - Country:US
Mailing Address - Phone:614-407-5335
Mailing Address - Fax:
Practice Address - Street 1:1156 DUBLIN RD
Practice Address - Street 2:SUITE 102
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1095
Practice Address - Country:US
Practice Address - Phone:614-407-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2013-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor