Provider Demographics
NPI:1457696486
Name:A & J INDUSTRIES LLC
Entity Type:Organization
Organization Name:A & J INDUSTRIES LLC
Other - Org Name:ABSOLUTE HEALTHCARE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:TEGELS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-298-4347
Mailing Address - Street 1:2302 8TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-2365
Mailing Address - Country:US
Mailing Address - Phone:402-298-4347
Mailing Address - Fax:402-298-4349
Practice Address - Street 1:2302 8TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-2365
Practice Address - Country:US
Practice Address - Phone:402-298-4347
Practice Address - Fax:402-298-4349
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A & J INDUSTRIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-03
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty