MEDICARE: DR. STEVEN ROBERT KRAFT D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301007252	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	950E053380	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1104014000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN ROBERT KRAFT D.C.

Provider Business Mailing Address
First Line	:	300 N FERRY ST
Second Line	:	STE D
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-1166
Country	:	US
Telephone Number	:	586-337-3178
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 N FERRY ST
Second Line	:	STE D
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-1166
Country	:	US
Telephone Number	:	586-337-3178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2007
Last Update Date	:	02/12/2026

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