Jedlicka, Tammy Jan
Jedlicka, Tammy Jan is an individual health care provider with primary practice located at 505 Bemidji Ave N Ste 2 , Bemidji MN 56601-3091. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jedlicka, Tammy Jan can be contacted via phone (218) 333-8496.Contact Information
Primary practice address
505 Bemidji Ave N Ste 2
Bemidji MN 56601-3091
Phone: (218) 333-8496
Fax: (218) 751-0253
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13089 | Minnesota |
Profile Details
NPI number | 1982702361 |
---|---|
LBN Legal business name | Jedlicka, Tammy Jan |
Credentials | MSW, LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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