Individual
ANDREW JASON GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2115 POLARIS PKWY, COLUMBUS, OH 43240-2022
(614) 888-3500
Mailing address
3216 S 3 BS AND K RD, GALENA, OH 43021-9756
(740) 965-5856
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299311
ANTHEM BCBS
OH
05
—
2180045
—
OH
Enumeration date
06/08/2006
Last updated
10/15/2007
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