| Organization Name: | A & J INDUSTRIES LLC |
| NPI Number: | 1457696486 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY J TEGELS (OWNER) |
| Mailing Address: | 211 S 23rd St Plattsmouth |
| State: | NE US |
| Postal Code: | 680482903 |
| Phone Number: | 4022984347 |
| Fax Number: | 4022984349 |
| NPI Enumeration Date: | 12/03/2012 |
| NPI Last Update Date: | 12/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 110895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |