Fast, Eric
Fast, Eric is an individual health care provider with primary practice located at 191 Addison Ave , Twin Falls ID 83301-5177. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Fast, Eric can be contacted via phone (208) 944-0369.Contact Information
Primary practice address
191 Addison Ave
Twin Falls ID 83301-5177
Phone: (208) 944-0369
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60627369 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP-1692A | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | NP-1692A | Idaho |
Profile Details
NPI number | 1376918383 |
---|---|
LBN Legal business name | Fast, Eric |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2015 |
Last updated | Oct 3rd, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376918383 | NPPES |
Idaho | Other | 1376918383 | IPN-IDAHO PHYSICIANS NETWORK |
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