Corey Lee Czajka, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in Langley Afb, VA. Individual provider (NPI-1).
NPI number1033516257
StatusActive
Last updated in NPPESDec 3, 2014
Details
- NPI
- 1033516257
- Entity type
- Individual (NPI-1)
- Name
- Corey Lee Czajka
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2014
- Last updated
- Dec 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
| 146N00000X | Emergency Medical Technician, Basic | – | – |
Practice location
77 Nealy AveLangley Afb, VA 23665-2040
Phone 757-764-6800
Mailing address
77 Nealy AveLangley Afb, VA 23665-2040
Phone 757-764-6800
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