Zivkovic, Dejan

Zivkovic, Dejan is an individual health care provider with primary practice located at 850 Columbia Rd , Westlake OH 44145-1493. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Zivkovic, Dejan can be contacted via phone (440) 808-4000.

Contact Information

Primary practice address
850 Columbia Rd Westlake OH 44145-1493
Phone: (440) 808-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67000093 Ohio

Profile Details

NPI number 1255333282
LBN Legal business name Zivkovic, Dejan
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 17th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255333282 NPPES
Ohio MEDICAID 2375522

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