MEDICARE: DR. BRIAN C STUDER DC

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	3333	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851489819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN C STUDER DC

Provider Business Mailing Address
First Line	:	2106 NORTH RIDGE RD
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-1241
Country	:	US
Telephone Number	:	440-240-9390
Fax Number	:	440-240-9370

Provider Business Practice Location Address
First Line	:	2106 NORTH RIDGE RD
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-1241
Country	:	US
Telephone Number	:	440-240-9390
Fax Number	:	440-240-9370

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	09/22/2022

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Directions to “ DR. BRIAN C STUDER DC” Practice Location

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