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Individual
CRAIG S BENTLEY
Active
Individual
CRAIG S BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
581
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000152530
ANTHEM
OH
01
—
581
THE HEALTH PLAN
OH
01
—
BE0399181
BRICKSTREET INS
WV
01
—
BWX
55054226000
OH
Enumeration date
05/15/2006
Last updated
11/30/2007
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