Individual
BENJAMIN FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 814-6503
(614) 293-0287
Mailing address
48 MIRROR LAKE RD, THORNTON, NH 03285-6135
(603) 960-0616
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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