Fast, Robert J

Fast, Robert J is an individual health care provider with primary practice located at 5206 W Main St , Belleville IL 62226-4731. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fast, Robert J can be contacted via phone (628) 234-5200.

Contact Information

Primary practice address
5206 W Main St Belleville IL 62226-4731
Phone: (628) 234-5200
Fax: (618) 234-4400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038009109 Illinois

Profile Details

NPI number 1275539611
LBN Legal business name Fast, Robert J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 31st, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275539611 NPPES
Illinois Other 627824 ULTC
Illinois Other 900068033 ULTC
Illinois Other P00110676 ULTC

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