Provider Demographics
NPI:1093855496
Name:LUDROSKY, RONALD E (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:E
Last Name:LUDROSKY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12610 STATE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-3208
Mailing Address - Country:US
Mailing Address - Phone:440-230-4200
Mailing Address - Fax:440-230-2750
Practice Address - Street 1:12610 STATE RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-3208
Practice Address - Country:US
Practice Address - Phone:440-230-4200
Practice Address - Fax:440-230-2750
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2413111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU89342Medicare UPIN
OHLU4071361Medicare ID - Type Unspecified