Individual
BENJAMIN REEVES LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
428 BEECHER RD, GAHANNA, OH 43230-4562
(614) 855-5533
Mailing address
272 VISTA DR, GAHANNA, OH 43230-5910
(614) 519-7500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4230
OH
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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