Provider Demographics
NPI:1528061280
Name:TOROK, RONALD S (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:S
Last Name:TOROK
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 1:746 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1404
Mailing Address - Country:US
Mailing Address - Phone:317-462-3136
Mailing Address - Fax:317-462-3323
Practice Address - Street 1:746 N STATE ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-1404
Practice Address - Country:US
Practice Address - Phone:317-462-3136
Practice Address - Fax:317-462-3323
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000710A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN35-2020366OtherFED. TAX ID
IN000000182148OtherANTHEM/BCBS
IN100127580AMedicaid
IN100127580AMedicaid
INT34671Medicare UPIN