Provider Demographics
NPI:1831698984
Name:KAJIC, NIKOLINA
Entity type:Individual
Prefix:
First Name:NIKOLINA
Middle Name:
Last Name:KAJIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34230 GLEN DR
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-2608
Mailing Address - Country:US
Mailing Address - Phone:440-840-9841
Mailing Address - Fax:
Practice Address - Street 1:12450 MERRITT RD
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-9010
Practice Address - Country:US
Practice Address - Phone:440-286-7154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator