Yazevac, Tammy Lou

Yazevac, Tammy Lou is an individual health care provider with primary practice located at 1370 Johnson Ave , Bridgeport WV 26330-1492. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Yazevac, Tammy Lou can be contacted via phone (304) 842-7186.

Contact Information

Primary practice address
1370 Johnson Ave Bridgeport WV 26330-1492
Phone: (304) 842-7186
Fax: (304) 842-2533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 273 West Virginia

Profile Details

NPI number 1750674149
LBN Legal business name Yazevac, Tammy Lou
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2011
Last updated Jul 10th, 2015 - about 11 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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