Idzakovich, John Gerard

Idzakovich, John Gerard is an sole proprietor health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Neonatal Intensive Care. Nursing Service Providers / Neonatal Intensive Care is his primary health care specialty. Idzakovich, John Gerard can be contacted via phone (216) 844-5437.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.0029344 Ohio
Nursing Service Providers / Neonatal Intensive Care 163WN0002X RN.446630 Ohio

Profile Details

NPI number 1801461793
LBN Legal business name Idzakovich, John Gerard
Credentials MS, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2021
Last updated Jul 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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