Fastenau, George Conrad
Fastenau, George Conrad is an individual health care provider with primary practice located at 2Nd Ceb Bas 2D Mardiv Ii Mef , Camp Lejeune NC 28542. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Fastenau, George Conrad can be contacted via phone (910) 451-7989.Contact Information
Primary practice address
2Nd Ceb Bas 2D Mardiv Ii Mef
Camp Lejeune NC 28542
Phone: (910) 451-7989
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1386851574 |
|---|---|
| LBN Legal business name | Fastenau, George Conrad |
| Credentials | NAVY IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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