Provider Demographics
NPI:1952394280
Name:RUSCITTI, RONALD JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JOSEPH
Last Name:RUSCITTI
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 1:7067 TIFFANY BLVD
Mailing Address - Street 2:STE 280
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1803
Mailing Address - Country:US
Mailing Address - Phone:330-707-4482
Mailing Address - Fax:330-758-8288
Practice Address - Street 1:7067 TIFFANY BLVD
Practice Address - Street 2:STE 280
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1803
Practice Address - Country:US
Practice Address - Phone:330-707-4482
Practice Address - Fax:330-758-8288
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0819556Medicaid
T80611Medicare UPIN
OH0618332Medicare ID - Type Unspecified