Djukic, Craig
Djukic, Craig is an individual health care provider with primary practice located at 2550 Som Center Rd , Willoughby Hills OH 44094-9655. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Djukic, Craig can be contacted via phone (440) 943-2500.Contact Information
Primary practice address
2550 Som Center Rd
Willoughby Hills OH 44094-9655
Phone: (440) 943-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.160031 | Ohio |
Profile Details
| NPI number | 1851798599 |
|---|---|
| LBN Legal business name | Djukic, Craig |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2014 |
| Last updated | Jan 11th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851798599 | NPPES |
| Ohio | MEDICAID | 2871101 |
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