Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1276 | OH |
NPI | 1710070834 |
---|---|
Provider Name | Dr. Frederick M Graff |
First Address | Grove City, OH 43123-2763 |
Second Address | Grove City, OH 43123-2763 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 17/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
119611 | ANTHEM BC/BS (01) | OH |
31-1318184-00 | WORKERS COMPENSATION (01) | OH |
44-000139 | UNITED HEALTHCARE OF OHIO (01) | OH |
SO9244221 | MEDICARE (01) | OH |
U01760 | (02) | OH |