Ondrejka, Tammy Lynn

Ondrejka, Tammy Lynn is an individual health care provider with primary practice located at 2300 Twelve Oaks Dr F5, Orange Park FL 32065-9021. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ondrejka, Tammy Lynn can be contacted via phone (904) 614-1258.

Contact Information

Primary practice address
2300 Twelve Oaks Dr F5 Orange Park FL 32065-9021
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6032 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 65247 Texas

Profile Details

NPI number 1356373039
LBN Legal business name Ondrejka, Tammy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 2nd, 2018 - about 6 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 1356373039 NPPES
Florida Other Z0546 BLUE CROSS BLUE SHIELD

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