Anthony J Rudlosky, INTERN | |
520 N Chestnut St, Ravenna, OH 44266-2218 | |
(330) 296-5552 | |
(330) 296-6126 |
Full Name | Anthony J Rudlosky |
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Gender | Male |
Speciality | Counselor |
Location | 520 N Chestnut St, Ravenna, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912191297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Coleman Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982637633 PECOS PAC ID: 2769474618 Enrollment ID: O20040331001085 |
Mailing Address | Practice Location Address |
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Anthony J Rudlosky, INTERN 520 N Chestnut St, Ravenna, OH 44266-2218 Ph: (330) 296-5552 | Anthony J Rudlosky, INTERN 520 N Chestnut St, Ravenna, OH 44266-2218 Ph: (330) 296-5552 |
Nancy Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 | |
Kelly Szydlowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 | |
Roberta Christofaris, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Susaye S. Rattigan, INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Kandi J Portz-novak, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Tiffany Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Jason Sheller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3920 Lovers Ln, Ravenna, OH 44266 Phone: 330-673-1347 |