Individual
RANDY LUDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
210 N HARRISON ST, SHERWOOD, OH 43556-0547
(419) 899-2142
(419) 899-2142
Mailing address
PO BOX 4547, 210 N HARRISON ST, SHERWOOD, OH 43556-0547
(419) 899-2142
(419) 899-2142
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1744
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000143198
ANTHEM INSURANCE
OH
01
—
35-1838101
FEDERAL ID#
OH
01
—
P00080876
RAILROAD MEDICARE
OH
Enumeration date
10/26/2006
Last updated
05/31/2016
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