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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1376918383 NPPES
Idaho Other 1376918383 IPN-IDAHO PHYSICIANS NETWORK

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