MEDICARE: RONALD E. LUDROSKY B.S., D.C., INC.

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	2413	OH

General Provider Information

NPI Number	:	1669646469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD E. LUDROSKY B.S., D.C., INC.

Provider Business Mailing Address
First Line	:	12610 STATE RD
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3208
Country	:	US
Telephone Number	:	440-230-4200
Fax Number	:	440-230-2750

Provider Business Practice Location Address
First Line	:	12610 STATE RD
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3208
Country	:	US
Telephone Number	:	440-230-4200
Fax Number	:	440-230-2750

Authorized Official
Title or Position	:	PRESIDENT/CHIROPRACTOR
Name	:	DR. RONALD E LUDROSKY
Credential	:	D.C.
Telephone Number	:	440-230-4200

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	03/02/2023

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